Are 1:4 Mesh and Donor Site Contraindications for Vacuum-Assisted Closure Device?

Trop, Marija; Schintler, Michael; Urban, Eva; Roedl, Siegfried; Stockenhuber, Andrea

doi:10.1097/01.ta.0000241149.20000.55

Cited by 8 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recently, a report described complications of NPWT/ROCF in 17‐year‐old (40% TBSA) and 15‐year‐old (10% TBSA) burn patients (43). Extensive bleeding occurred within the grafted site in the 17 year old and the donor site in the 15 year old, requiring transfusions.…”

Section: Vac® Therapy Recommendations For Treating Paediatric Woundsmentioning

confidence: 99%

V.A.C.^® Therapy in the management of paediatric wounds: clinical review and experience

Baharestani

Amjad²,

Bookout

et al. 2009

International Wound Journal

View full text Add to dashboard Cite

Usage of negative pressure wound therapy (NPWT) in the management of acute and chronic wounds has grown exponentially in the past decade. Hundreds of studies have been published regarding outcomes and methods of therapy used for adult wounds. This treatment is increasingly being used to manage difficult-to-treat paediatric wounds arising from congenital defects, trauma, infection, tumour, burns, pressure ulceration and postsurgical complications in children, although relatively few studies have been aimed at this population. Given the anatomical and physiological differences between adults and children, a multidisciplinary expert advisory panel was convened to determine appropriate use of NPWT with reticulated open cell foam (NPWT/ROCF) as delivered by Vacuum Assisted Closure (V.A.C. Therapy, KCI Licensing, Inc., San Antonio, TX) for the treatment of paediatric wounds. The primary objectives of the expert advisory panel were to exchange state-of-practice information on paediatric wound care, review the published data regarding the use of NPWT/ROCF in paediatric wounds, evaluate the strength of the existing data and establish guidelines on best practices with NPWT/ROCF for the paediatric population. The proposed paediatrics-specific clinical practice guidelines are meant to provide practitioners an evidence base from which decisions could be made regarding the safe and efficacious selection of pressure settings, foam type, dressing change frequency and use of interposing contact layer selections. The guidelines reflect the state of knowledge on effective and appropriate wound care at the time of publication. They are the result of consensus reached by expert advisory panel members based on their individual clinical and published experiences related to the use of NPWT/ROCF in treating paediatric wounds. Best practices are described herein for novice and advanced users of NPWT/ROCF. Recommendations by the expert panel may not be appropriate for use in all circumstances. Decisions to adopt any particular recommendation must be made by the collaborating medical team, including the surgeon and wound care specialist based on available resources, individual patient circumstances and experience with the V.A.C. Therapy System.

show abstract

Section: Vac® Therapy Recommendations For Treating Paediatric Woundsmentioning

confidence: 99%

V.A.C.^® Therapy in the management of paediatric wounds: clinical review and experience

Baharestani

Amjad²,

Bookout

et al. 2009

International Wound Journal

View full text Add to dashboard Cite

show abstract

“…It acts by removing excess tissue fluid from the extravascular space, which promotes microcirculation during the early stages of inflammation. Vacuum therapy induces increased peripheral blood flow and improves local oxygenation (23) . It promotes angiogenesis, endothelial proliferation, the integrity of the capillary basement membrane, and stimulates granulation tissue, decreasing interstitial edema and bacterial colonization (24) .…”

Section: Introductionmentioning

confidence: 99%

The Effect of Vacuum Assisted Closure Dressing Technique versus Conventional Dressing on Diabetic Foot Wound Healing

Elshenawie

Weheida

Said

2016

Alexandria Scientific Nursing Journal

View full text Add to dashboard Cite

“…The use of negative-pressure wound therapy (NPWT) has increased rapidly since it was first described in 1997. 3 4 There are many indications 1 5 6 7 now for the use of NPWT, including stabilization and bolstering of STSGs, 8 9 10 11 12 13 14 and as a dressing for skin graft donor sites. 15 16 Over the past several years, several miniaturized, disposable, single-patient NPWT (SP-NPWT) devices have been introduced.…”

mentioning

confidence: 99%

Miniaturized Negative-Pressure Wound Therapy for Split-Thickness Skin Graft Donor Sites

Mitchell

Ray

Cordeiro

2018

J Reconstr Microsurg Open

View full text Add to dashboard Cite

Background Multiple therapeutic options exist for the treatment of split-thickness skin graft (STSG) donor sites, but there is no clear consensus among surgeons about the best option. Negative-pressure wound therapy (NPWT) has rapidly gained in popularity since its invention. Recently, several miniaturized, single-patient NPWT (SP-NPWT) devices have become available. Compared with traditional NPWT devices, SP-NPWT devices are associated with equal wound healing capability and reliability, but offer several advantages. We present a series of 10 consecutive patients whose STSG donor sites were treated with a commercially available SP-NPWT device. Methods We performed a retrospective review for 10 consecutive patients who underwent STSG procedures and were treated with SP-NPWT devices. Results From 2015 to 2017, 10 consecutive patients underwent oncologic reconstruction using STSG and had their donor sites treated with SP-NPWT devices. The SP-NPWT dressing had been left in place for 2 weeks after surgery. The average donor site area measured 80 cm 2 (range: 76–106 cm 2 ). In all 10 patients, the donor sites healed uneventfully and with no complications. Conclusion Off-the-shelf, miniaturized, SP-NPWT systems appear to be at least as effective as traditional dressings for STSG donor sites and require no maintenance (skilled nursing or dressing changes). Compared with larger and less portable standard NPWT devices, SP-NPWT dressing systems provide a potential cost benefit as well as enhanced convenience and portability.

show abstract

Are 1:4 Mesh and Donor Site Contraindications for Vacuum-Assisted Closure Device?

Cited by 8 publications

References 13 publications

V.A.C.^® Therapy in the management of paediatric wounds: clinical review and experience

V.A.C.^® Therapy in the management of paediatric wounds: clinical review and experience

The Effect of Vacuum Assisted Closure Dressing Technique versus Conventional Dressing on Diabetic Foot Wound Healing

Miniaturized Negative-Pressure Wound Therapy for Split-Thickness Skin Graft Donor Sites

Contact Info

Product

Resources

About

Are 1:4 Mesh and Donor Site Contraindications for Vacuum-Assisted Closure Device?

Cited by 8 publications

References 13 publications

V.A.C.® Therapy in the management of paediatric wounds: clinical review and experience

V.A.C.® Therapy in the management of paediatric wounds: clinical review and experience

The Effect of Vacuum Assisted Closure Dressing Technique versus Conventional Dressing on Diabetic Foot Wound Healing

Miniaturized Negative-Pressure Wound Therapy for Split-Thickness Skin Graft Donor Sites

Contact Info

Product

Resources

About

V.A.C.^® Therapy in the management of paediatric wounds: clinical review and experience

V.A.C.^® Therapy in the management of paediatric wounds: clinical review and experience