Feasibility of a disposable canister-free negative-pressure wound therapy (NPWT) device for treating open wounds in horses
Abstract Background Wounds are among the most common medical conditions affecting horses and have a major economic impact on the horse industry. Wound healing in horses is distinct to that documented in other species, and often results in delayed healing and extensive scarring, with compromised func...
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| Format: | Article |
| Language: | English |
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BMC
2019-03-01
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| Series: | BMC Veterinary Research |
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| Online Access: | http://link.springer.com/article/10.1186/s12917-019-1829-5 |
| _version_ | 1819228668289875968 |
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| author | Louis Kamus Marie Rameau Christine Theoret |
| author_facet | Louis Kamus Marie Rameau Christine Theoret |
| author_sort | Louis Kamus |
| collection | DOAJ |
| description | Abstract Background Wounds are among the most common medical conditions affecting horses and have a major economic impact on the horse industry. Wound healing in horses is distinct to that documented in other species, and often results in delayed healing and extensive scarring, with compromised functional and aesthetic outcomes. To date, there is no conventional method objectively proven to accelerate healing or to successfully prevent complications associated with second intention healing. Several effects of Negative Pressure Wound Therapy (NPWT) may be particularly useful to the management of wounds in horses. However, cumbersome designs of classic NPWT devices render them unsuitable for equine practice. A new lightweight, portable and disposable unit of NPWT (PICO®), should facilitate the use of this modality by equine practitioners. The aim of this study was to evaluate the feasibility of using this canister-free system to treat experimental open wounds in horses. Results No difficulties were encountered with the application or maintenance of the PICO® system during the ex vivo experiment or during the preliminary in vivo experiment conducted on intact skin. All horses readily tolerated the PICO® but difficulties with adhesion and seal prevented the completion of the experimental wound study despite the use of many adjunctive adhesives. Conclusion The current PICO® dressing design is not suitable to be used as a dressing for open wounds in horses though the device is well tolerated by equine patients. A dressing with a wider adhesive edge, a superior adhesive and a more flexible pad would likely be better adapted to enable its future use in equine practice. |
| first_indexed | 2024-12-23T11:00:56Z |
| format | Article |
| id | doaj.art-9a8316cf2ac743b3be89950858a04ecc |
| institution | Directory Open Access Journal |
| issn | 1746-6148 |
| language | English |
| last_indexed | 2024-12-23T11:00:56Z |
| publishDate | 2019-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Veterinary Research |
| spelling | doaj.art-9a8316cf2ac743b3be89950858a04ecc2022-12-21T17:49:37ZengBMCBMC Veterinary Research1746-61482019-03-0115111010.1186/s12917-019-1829-5Feasibility of a disposable canister-free negative-pressure wound therapy (NPWT) device for treating open wounds in horsesLouis Kamus0Marie Rameau1Christine Theoret2Département de biomédecine vétérinaire, Université de MontréalDépartement de biomédecine vétérinaire, Université de MontréalDépartement de biomédecine vétérinaire, Université de MontréalAbstract Background Wounds are among the most common medical conditions affecting horses and have a major economic impact on the horse industry. Wound healing in horses is distinct to that documented in other species, and often results in delayed healing and extensive scarring, with compromised functional and aesthetic outcomes. To date, there is no conventional method objectively proven to accelerate healing or to successfully prevent complications associated with second intention healing. Several effects of Negative Pressure Wound Therapy (NPWT) may be particularly useful to the management of wounds in horses. However, cumbersome designs of classic NPWT devices render them unsuitable for equine practice. A new lightweight, portable and disposable unit of NPWT (PICO®), should facilitate the use of this modality by equine practitioners. The aim of this study was to evaluate the feasibility of using this canister-free system to treat experimental open wounds in horses. Results No difficulties were encountered with the application or maintenance of the PICO® system during the ex vivo experiment or during the preliminary in vivo experiment conducted on intact skin. All horses readily tolerated the PICO® but difficulties with adhesion and seal prevented the completion of the experimental wound study despite the use of many adjunctive adhesives. Conclusion The current PICO® dressing design is not suitable to be used as a dressing for open wounds in horses though the device is well tolerated by equine patients. A dressing with a wider adhesive edge, a superior adhesive and a more flexible pad would likely be better adapted to enable its future use in equine practice.http://link.springer.com/article/10.1186/s12917-019-1829-5HorseWoundNegative pressure wound therapyFeasibility |
| spellingShingle | Louis Kamus Marie Rameau Christine Theoret Feasibility of a disposable canister-free negative-pressure wound therapy (NPWT) device for treating open wounds in horses BMC Veterinary Research Horse Wound Negative pressure wound therapy Feasibility |
| title | Feasibility of a disposable canister-free negative-pressure wound therapy (NPWT) device for treating open wounds in horses |
| title_full | Feasibility of a disposable canister-free negative-pressure wound therapy (NPWT) device for treating open wounds in horses |
| title_fullStr | Feasibility of a disposable canister-free negative-pressure wound therapy (NPWT) device for treating open wounds in horses |
| title_full_unstemmed | Feasibility of a disposable canister-free negative-pressure wound therapy (NPWT) device for treating open wounds in horses |
| title_short | Feasibility of a disposable canister-free negative-pressure wound therapy (NPWT) device for treating open wounds in horses |
| title_sort | feasibility of a disposable canister free negative pressure wound therapy npwt device for treating open wounds in horses |
| topic | Horse Wound Negative pressure wound therapy Feasibility |
| url | http://link.springer.com/article/10.1186/s12917-019-1829-5 |
| work_keys_str_mv | AT louiskamus feasibilityofadisposablecanisterfreenegativepressurewoundtherapynpwtdevicefortreatingopenwoundsinhorses AT marierameau feasibilityofadisposablecanisterfreenegativepressurewoundtherapynpwtdevicefortreatingopenwoundsinhorses AT christinetheoret feasibilityofadisposablecanisterfreenegativepressurewoundtherapynpwtdevicefortreatingopenwoundsinhorses |