Simple and Efficient Pressure Ulcer Reconstruction via Primary Closure Combined with Closed-Incision Negative Pressure Wound Therapy (CiNPWT)—Experience of a Single Surgeon
Background: In this study, we aimed to analyze the clinical efficacy of closed-incision negative pressure wound therapy (CiNPWT) when combined with primary closure (PC) in a patient with pressure ulcers, based on one single surgeon’s experience at our medical center. Methods: We retrospectively revi...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-01-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/12/2/182 |
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| author | Kuo-Feng Hsu Li-Ting Kao Pei-Yi Chu Chun-Yu Chen Yu-Yu Chou Dun-Wei Huang Ting-Hsuan Liu Sheng-Lin Tsai Chien-Wei Wu Chih-Chun Hou Chih-Hsin Wang Niann-Tzyy Dai Shyi-Gen Chen Yuan-Sheng Tzeng |
| author_facet | Kuo-Feng Hsu Li-Ting Kao Pei-Yi Chu Chun-Yu Chen Yu-Yu Chou Dun-Wei Huang Ting-Hsuan Liu Sheng-Lin Tsai Chien-Wei Wu Chih-Chun Hou Chih-Hsin Wang Niann-Tzyy Dai Shyi-Gen Chen Yuan-Sheng Tzeng |
| author_sort | Kuo-Feng Hsu |
| collection | DOAJ |
| description | Background: In this study, we aimed to analyze the clinical efficacy of closed-incision negative pressure wound therapy (CiNPWT) when combined with primary closure (PC) in a patient with pressure ulcers, based on one single surgeon’s experience at our medical center. Methods: We retrospectively reviewed the data of patients with stage III or IV pressure ulcers who underwent reconstruction surgery. Patient characteristics, including age, sex, cause and location of defect, comorbidities, lesion size, wound reconstruction methods, operation time, debridement times, application of CiNPWT to reconstructed wounds, duration of hospital stay, and wound complications were analyzed. Results: Operation time (38.16 ± 14.02 vs. 84.73 ± 48.55 min) and duration of hospitalization (36.78 ± 26.92 vs. 56.70 ± 58.43 days) were shorter in the PC + CiNPWT group than in the traditional group. The frequency of debridement (2.13 ± 0.98 vs. 2.76 ± 2.20 times) was also lower in the PC + CiNPWT group than in the traditional group. The average reconstructed wound size did not significantly differ between the groups (63.47 ± 42.70 vs. 62.85 ± 49.94 cm<sup>2</sup>), and there were no significant differences in wound healing (81.25% vs. 75.38%), minor complications (18.75% vs. 21.54%), major complications (0% vs. 3.85%), or mortality (6.25% vs. 10.00%) between the groups. Conclusions: Our findings indicate that PC combined with CiNPWT represents an alternative reconstruction option for patients with pressure ulcers, especially in those for whom prolonged anesthesia is unsuitable. |
| first_indexed | 2024-03-09T21:37:17Z |
| format | Article |
| id | doaj.art-6a233f7b4c874bddbf954eeba50861c1 |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-09T21:37:17Z |
| publishDate | 2022-01-01 |
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| series | Journal of Personalized Medicine |
| spelling | doaj.art-6a233f7b4c874bddbf954eeba50861c12023-11-23T20:39:31ZengMDPI AGJournal of Personalized Medicine2075-44262022-01-0112218210.3390/jpm12020182Simple and Efficient Pressure Ulcer Reconstruction via Primary Closure Combined with Closed-Incision Negative Pressure Wound Therapy (CiNPWT)—Experience of a Single SurgeonKuo-Feng Hsu0Li-Ting Kao1Pei-Yi Chu2Chun-Yu Chen3Yu-Yu Chou4Dun-Wei Huang5Ting-Hsuan Liu6Sheng-Lin Tsai7Chien-Wei Wu8Chih-Chun Hou9Chih-Hsin Wang10Niann-Tzyy Dai11Shyi-Gen Chen12Yuan-Sheng Tzeng13Division of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, TaiwanDepartment of Pharmacy Practice, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, TaiwanDepartment of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, TaiwanDivision of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, TaiwanDivision of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, TaiwanDivision of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, TaiwanDivision of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, TaiwanDivision of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, TaiwanDivision of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, TaiwanDivision of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, TaiwanDivision of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, TaiwanDivision of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, TaiwanDivision of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, TaiwanDivision of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, TaiwanBackground: In this study, we aimed to analyze the clinical efficacy of closed-incision negative pressure wound therapy (CiNPWT) when combined with primary closure (PC) in a patient with pressure ulcers, based on one single surgeon’s experience at our medical center. Methods: We retrospectively reviewed the data of patients with stage III or IV pressure ulcers who underwent reconstruction surgery. Patient characteristics, including age, sex, cause and location of defect, comorbidities, lesion size, wound reconstruction methods, operation time, debridement times, application of CiNPWT to reconstructed wounds, duration of hospital stay, and wound complications were analyzed. Results: Operation time (38.16 ± 14.02 vs. 84.73 ± 48.55 min) and duration of hospitalization (36.78 ± 26.92 vs. 56.70 ± 58.43 days) were shorter in the PC + CiNPWT group than in the traditional group. The frequency of debridement (2.13 ± 0.98 vs. 2.76 ± 2.20 times) was also lower in the PC + CiNPWT group than in the traditional group. The average reconstructed wound size did not significantly differ between the groups (63.47 ± 42.70 vs. 62.85 ± 49.94 cm<sup>2</sup>), and there were no significant differences in wound healing (81.25% vs. 75.38%), minor complications (18.75% vs. 21.54%), major complications (0% vs. 3.85%), or mortality (6.25% vs. 10.00%) between the groups. Conclusions: Our findings indicate that PC combined with CiNPWT represents an alternative reconstruction option for patients with pressure ulcers, especially in those for whom prolonged anesthesia is unsuitable.https://www.mdpi.com/2075-4426/12/2/182pressure ulcersurgical reconstructiondressing materialswound controlnegative pressure wound therapyvacuum-assisted closure |
| spellingShingle | Kuo-Feng Hsu Li-Ting Kao Pei-Yi Chu Chun-Yu Chen Yu-Yu Chou Dun-Wei Huang Ting-Hsuan Liu Sheng-Lin Tsai Chien-Wei Wu Chih-Chun Hou Chih-Hsin Wang Niann-Tzyy Dai Shyi-Gen Chen Yuan-Sheng Tzeng Simple and Efficient Pressure Ulcer Reconstruction via Primary Closure Combined with Closed-Incision Negative Pressure Wound Therapy (CiNPWT)—Experience of a Single Surgeon Journal of Personalized Medicine pressure ulcer surgical reconstruction dressing materials wound control negative pressure wound therapy vacuum-assisted closure |
| title | Simple and Efficient Pressure Ulcer Reconstruction via Primary Closure Combined with Closed-Incision Negative Pressure Wound Therapy (CiNPWT)—Experience of a Single Surgeon |
| title_full | Simple and Efficient Pressure Ulcer Reconstruction via Primary Closure Combined with Closed-Incision Negative Pressure Wound Therapy (CiNPWT)—Experience of a Single Surgeon |
| title_fullStr | Simple and Efficient Pressure Ulcer Reconstruction via Primary Closure Combined with Closed-Incision Negative Pressure Wound Therapy (CiNPWT)—Experience of a Single Surgeon |
| title_full_unstemmed | Simple and Efficient Pressure Ulcer Reconstruction via Primary Closure Combined with Closed-Incision Negative Pressure Wound Therapy (CiNPWT)—Experience of a Single Surgeon |
| title_short | Simple and Efficient Pressure Ulcer Reconstruction via Primary Closure Combined with Closed-Incision Negative Pressure Wound Therapy (CiNPWT)—Experience of a Single Surgeon |
| title_sort | simple and efficient pressure ulcer reconstruction via primary closure combined with closed incision negative pressure wound therapy cinpwt experience of a single surgeon |
| topic | pressure ulcer surgical reconstruction dressing materials wound control negative pressure wound therapy vacuum-assisted closure |
| url | https://www.mdpi.com/2075-4426/12/2/182 |
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