The use of negative pressure wound therapy in the treatment of infected wounds. Case studies

ABSTRACT OBJECTIVE: To evaluate the results and benefits obtained from the topical use of negative pressure wound therapy (NPWT) in patients with infected wounds. METHODS: This was a retrospective study of 20 patients (17 males and three females, mean age 42 years) with infected wounds treated u...

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Main Authors: Daniel de Alcântara Jones, Wilson Vasconcelos Neves Filho, Janice de Souza Guimarães, Daniel de Araújo Castro, Antonio Marcos Ferracini
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000600646&lng=en&tlng=en
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author Daniel de Alcântara Jones
Wilson Vasconcelos Neves Filho
Janice de Souza Guimarães
Daniel de Araújo Castro
Antonio Marcos Ferracini
author_facet Daniel de Alcântara Jones
Wilson Vasconcelos Neves Filho
Janice de Souza Guimarães
Daniel de Araújo Castro
Antonio Marcos Ferracini
author_sort Daniel de Alcântara Jones
collection DOAJ
description ABSTRACT OBJECTIVE: To evaluate the results and benefits obtained from the topical use of negative pressure wound therapy (NPWT) in patients with infected wounds. METHODS: This was a retrospective study of 20 patients (17 males and three females, mean age 42 years) with infected wounds treated using NPWT. The infected wounds were caused by trauma. The treatment system used was VAC.(r) (Vacuum Assisted Closure, KCI, San Antonio, United States) applied to the wound in continuous mode from 100 to 125 mmHg. The parameters related to the wounds (location, number of VAC changes, the size of the defects in the soft parts, and the evolution of the state of the wound), length of hospital stay, length of intravenous antibiotic therapy, and complications related to the use of this therapy were evaluated. RESULTS: The mean length of the hospital stay, use of NPWT, and antibacterial therapy were 41 days, 22.5 days, and 20 days respectively. The use of the VAC led to a mean reduction of 29% in the wound area (95.65-68.1 cm2; p < 0.05). Only one patient did not show any improvement in the final appearance of the wound with complete eradication of the infection. No complication directly caused by NPWT was observed. CONCLUSION: NPWT stimulates infection-free scar tissue formation in a short time, and is a quick and comfortable alternative to conventional infected wounds treatment methods.
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spelling doaj.art-09e13ef7ba8c476abef868b567cb45432024-02-02T17:19:20ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-437851664665110.1016/j.rboe.2016.10.014S0102-36162016000600646The use of negative pressure wound therapy in the treatment of infected wounds. Case studiesDaniel de Alcântara JonesWilson Vasconcelos Neves FilhoJanice de Souza GuimarãesDaniel de Araújo CastroAntonio Marcos FerraciniABSTRACT OBJECTIVE: To evaluate the results and benefits obtained from the topical use of negative pressure wound therapy (NPWT) in patients with infected wounds. METHODS: This was a retrospective study of 20 patients (17 males and three females, mean age 42 years) with infected wounds treated using NPWT. The infected wounds were caused by trauma. The treatment system used was VAC.(r) (Vacuum Assisted Closure, KCI, San Antonio, United States) applied to the wound in continuous mode from 100 to 125 mmHg. The parameters related to the wounds (location, number of VAC changes, the size of the defects in the soft parts, and the evolution of the state of the wound), length of hospital stay, length of intravenous antibiotic therapy, and complications related to the use of this therapy were evaluated. RESULTS: The mean length of the hospital stay, use of NPWT, and antibacterial therapy were 41 days, 22.5 days, and 20 days respectively. The use of the VAC led to a mean reduction of 29% in the wound area (95.65-68.1 cm2; p < 0.05). Only one patient did not show any improvement in the final appearance of the wound with complete eradication of the infection. No complication directly caused by NPWT was observed. CONCLUSION: NPWT stimulates infection-free scar tissue formation in a short time, and is a quick and comfortable alternative to conventional infected wounds treatment methods.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000600646&lng=en&tlng=enTratamento de ferimentos com pressão negativaCicatrizaçãoFerimentos e lesõesInfecção
spellingShingle Daniel de Alcântara Jones
Wilson Vasconcelos Neves Filho
Janice de Souza Guimarães
Daniel de Araújo Castro
Antonio Marcos Ferracini
The use of negative pressure wound therapy in the treatment of infected wounds. Case studies
Revista Brasileira de Ortopedia
Tratamento de ferimentos com pressão negativa
Cicatrização
Ferimentos e lesões
Infecção
title The use of negative pressure wound therapy in the treatment of infected wounds. Case studies
title_full The use of negative pressure wound therapy in the treatment of infected wounds. Case studies
title_fullStr The use of negative pressure wound therapy in the treatment of infected wounds. Case studies
title_full_unstemmed The use of negative pressure wound therapy in the treatment of infected wounds. Case studies
title_short The use of negative pressure wound therapy in the treatment of infected wounds. Case studies
title_sort use of negative pressure wound therapy in the treatment of infected wounds case studies
topic Tratamento de ferimentos com pressão negativa
Cicatrização
Ferimentos e lesões
Infecção
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000600646&lng=en&tlng=en
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