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How to choose the NPWT option in practice (sponges or dressings, indications for their use depending on the purpose of treatment, device selection)

https://doi.org/10.25199/2408-9613-2020-7-2-10-21

Abstract

NPT is part of the daily management of complex wounds with delayed healing. It is essential in 2018 to understand the mechanisms of action of the various machines available on the wound market in France. In order to put the right indication for a defined clinical problem to know the difference between fixed and heavy techniques, imposing immobilization of the patient due to the need for a permanent connection and the simpler, ambulatory techniques that combine effective negative pressure while allowing a better quality of life. The recent contribution of the instillation has completed the offer by opening the possibility of instilling in the wound variable liquids in their composition and their effect. The recent introduction of a new foam also suggests the possibility of cleaning the wound with a tool hitherto reserved for the promotion of granulation tissue.

About the Author

L. Teot
Department of Plastic Surgery, Burns and Wounds, University Hospital Montpellier
France
191 avenue du Doyen Gaston Giraud Str., Montpellier, 34295


References

1. Haute Autorité de Santé évaluation des dispositifs. Rapport d’évaluation des traitements de plaies par pression négative [Internet]. 2010. Disponible sur: http://www.has-sante.fr/upload/docs/application/pdf/2012-01/rapport_devaluation_des_traitements_de_plaies_par_pression_negative_tpn.pdf

2. Morykwas M., Argenta L. Vacuum-assisted closure: a new method for wound control and treatment: Ann Plas Surg. 1997; 38: 553–562.

3. Argenta L. C., Morykwas M. J. Vacuum Assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg. 1997; 38 (6): 563–762.

4. Téot L., Guillot-Masanovic M., Miquel P., et al. Clinical impact of negative-pressure wound therapy: a 1,126-patient observational prospective study.Wound Repair Regen. 2014; 22 (3): 341–350.

5. Fuchs U., Zitterman A., Stuettgen B., et al. Clinical outcome of patients with deep sternal wound infection managed by vacuum-assisted closure compared to conventional therapy with open packing: a retrospective analysis. Ann Thorac Surg. 2005; 79: 526–531.

6. DeFranzo A., Pitzer K., Molnar J., et al. Vacuum-assisted closure for defects of the abdominal wall. Plast Reconstr Surg. 2008; 121: 832–839.

7. Bovill E., Banwell P. E., Teot L., et al. Topical negative pressure wound therapy: a review of its role and guidelines for its use in the management of acute wounds. Int Wound J. 2008; 5 (4): 511–529.

8. Saxena V., Hwang C., Huang S., et al. Vacuum-assisted closure: microdeformations of wound and cell proliferation. Plast Reconstr Surg. 2004; 114: 1086–1096.

9. Armstrong D. G., Lavery L. A. Diabetic Foot Study Consortium. Negative pressure wound therapy after partial diabetic foot amputation: a multicentre, randomised controlled trial. Lancet. 2005; 366(9498): 1704–1710.

10. Blume P. A., Walters J., Payne W., et al.. Comparison of negative pressure wound therapy using vacuum-assisted closure with advanced moist wound therapy in the treatment of diabetic foot ulcers: a multicenter randomized controlled trial. Diabetes Care. 2008; 31 (4): 631–636.

11. Gabriel A., Shores J., Bernstein B., et al. A clinical review of infected wound treatment with vacuum assisted closure. Int Wound J. 2009; 6: 1–25.

12. Sjogren J., Gustafsson R., Nilsson J., et al. Clicnical outcome after poststernotomy mediastinitis: vacuum-assisted closure versus conventional treatment. Ann Thorac Surg. 2005; 79 (6): 2049– 2055.

13. Armstrong D. G., Lavery L. A., AbuRumman P., et al. Outcomes of subatmospheric pressure dressing therapy on wounds of the diabetic foot. Ostomy Wound Manage. 2002; 48 (4): 64-68.

14. Fleischmann W., Strecker W., Bombelli M., Kinzl L. Vacuum sealing as treatment of soft tissue damage in open fractures. Unfallchir. 1993; 96 (9): 488– 492.

15. Fluieraru S., Bekara F., Naud M., et al. Sterile-water negative pressure instillation therapy for complex wounds and NPWT failures.J Wound Care. 2013; 22 (6): 293–294, 296, 298–299.

16. Brinkert D.,Ali M. Naud M., et al. Negative pressure wound therapy with saline instillation: 131 patient case series. Int Wound J. 2013;10 (Suppl. 1): 56–60.

17. Kim P. J., Attinger C. E., Steinberg J. S., et al. The impact of negative-pressure wound therapy with instillation compared with standard negative-pressure wound therapy: a retrospective, historical, cohort, controlled study. Plast Reconstr Surg. 2014; 133 (3): 709–716.

18. Kim P. J., Attinger C. E., Oliver N., et al. Comparison of Outcomes for Normal Saline and an Antiseptic Solution for Negative-Pressure Wound Therapy with Instillation.Plast Reconstr Surg. 2015;136 (5): 657e–664e.

19. Kim P. J., Attinger C. E., Olawoye O., et al. Negative Pressure Wound Therapy With Instillation: Review of Evidence and Recommendations. Wounds. 2015; 27 (12): S2–S19L.

20. Gupta S., Gabriel A., Lantis J., Téot L. Clinical recommendations and practical guide for negative pressure wound therapy with instillation. Int Wound J. 2016;13 (2): 159–174.

21. Téot L., Boissiere F., Fluieraru S.Novel foam dressing using negative pressure wound therapy with instillation to remove thick exudate. Int Wound J. 2017;14 (5): 842–848.


Review

For citations:


Teot L. How to choose the NPWT option in practice (sponges or dressings, indications for their use depending on the purpose of treatment, device selection). Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2020;7(2):10-21. https://doi.org/10.25199/2408-9613-2020-7-2-10-21

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ISSN 2408-9613 (Print)
ISSN 2500-0594 (Online)
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