Negative pressure wound therapy in the management of complex lower limb wounds: a case series highlighting outpatient care with small single-use devices.
Background Traditionally, the treatment of exposed tendon has required vascularised tissue coverage, usually with complex surgical intervention. The introduction of negative pressure wound therapy (NPWT) has challenged this traditional reconstructive concept. Unfortunately, standard NPWT units are u...
| Publicado en: | Wound Practice & Research Vol. 27; no. 3; pp. 116 - 122 |
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| Autores principales: | , , |
| Formato: | case study pictorial Journal Article |
| Publicado: |
Cambridge Publishing
Sep2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139009327&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139009327 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18376304 639G jtl: Wound Practice & Research issn: 18376304 maglogo: N pubinfo: dt: Sep2019 vid: 27 iid: 3 pid: 66266 pub: Cambridge Publishing artinfo: ui: 139009327 139009327 139009327 10.33235/wpr.27.3.116-121 139009327 ppf: 116 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Negative pressure wound therapy in the management of complex lower limb wounds: a case series highlighting outpatient care with small single-use devices. aug: au: Cordova, L. Z. Martins, J. Terrill, P. affil: MBBS, Department of Plastic and Reconstructive Surgery, Frankston Hospital, Peninsula Health, VIC, Australia sug: subj: Negative Pressure Wound Therapy Lower Extremity Pathology Wounds and Injuries Therapy Wound Care Methods Human Outpatients Wound Care Equipment and Supplies Quality of Life Tendon Injuries Therapy Debridement Surgery, Reconstructive Case Studies Female Aged Dressing Aged, 80 and Over Wound Assessment Aged: 65+ years Aged, 80 & over Female ab: Background Traditionally, the treatment of exposed tendon has required vascularised tissue coverage, usually with complex surgical intervention. The introduction of negative pressure wound therapy (NPWT) has challenged this traditional reconstructive concept. Unfortunately, standard NPWT units are usually bulky, noisy and curtail the mobility and lifestyle of patients. The introduction of small, modern, lightweight, portable, single-use NPWT units have therefore revitalised the use of NPWT and provided a solution to the many problems encountered with the larger devices. Case series This study highlights three cases of patients with complex lower limb wounds with tendon exposure who were successfully treated with single-use NPWT in an outpatient setting. The median time for complete wound granulation was 5-10 weeks. Minor sharp debridement of wounds was required to encourage granulation tissue formation and this was well tolerated in the outpatient setting. Conclusion Portable NPWT units provide an alternative to surgical reconstruction in patients with lower limb wounds with exposed tendon. These devices can be utilised in a purely outpatient setting, thus avoid long-term hospitalisation. Older patients with high anaesthesia risk or who lack alternative reconstructive options due to vascular co-morbidities are the most appropriate candidates for this treatment option. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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