Mechanically Powered Ambulatory Negative Pressure Wound Therapy Device for Treatment of a Colostomy Takedown Site

Bohn, Gregory

doi:10.1097/won.0b013e31828f478e

Cited by 6 publications

(5 citation statements)

References 7 publications

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“…128,[136][137][138] A mechanically powered, ultralight, and portable NPWT device has also been introduced in recent years. 135,139,140 Two articles comparing this device with the traditional electrically powered device in a prospective RCT have shown equivalent DFU healing outcomes with faster application times and a high degree of patient satisfaction. 141,142 Clinicians have also combined NPWT with other advanced therapies such as acellular and cellular matrices.…”

Section: Negative Pressure Wound Therapymentioning

confidence: 99%

Challenges in the Treatment of Chronic Wounds

Frykberg

Banks

2015

Advances in Wound Care

1,687

1,429

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Significance: Chronic wounds include, but are not limited, to diabetic foot ulcers, venous leg ulcers, and pressure ulcers. They are a challenge to wound care professionals and consume a great deal of healthcare resources around the globe. This review discusses the pathophysiology of complex chronic wounds and the means and modalities currently available to achieve healing in such patients.Recent Advances: Although often difficult to treat, an understanding of the underlying pathophysiology and specific attention toward managing these perturbations can often lead to successful healing.Critical Issues: Overcoming the factors that contribute to delayed healing are key components of a comprehensive approach to wound care and present the primary challenges to the treatment of chronic wounds. When wounds fail to achieve sufficient healing after 4 weeks of standard care, reassessment of underlying pathology and consideration of the need for advanced therapeutic agents should be undertaken. However, selection of an appropriate therapy is often not evidence based.Future Directions: Basic tenets of care need to be routinely followed, and a systematic evaluation of patients and their wounds will also facilitate appropriate care. Underlying pathologies, which result in the failure of these wounds to heal, differ among various types of chronic wounds. A better understanding of the differences between various types of chronic wounds at the molecular and cellular levels should improve our treatment approaches, leading to better healing rates, and facilitate the development of new more effective therapies. More evidence for the efficacy of current and future advanced wound therapies is required for their appropriate use.

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Section: Negative Pressure Wound Therapymentioning

confidence: 99%

Challenges in the Treatment of Chronic Wounds

Frykberg

Banks

2015

Advances in Wound Care

1,687

1,429

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“…This case made us realize that NPWT is a great alternative also as treatment for complex peristomal skin complications [7][8][9]. The treatment was well received by the patient; neither negative effects nor intolerance occurred.…”

Section: Resultsmentioning

confidence: 77%

Management of Peristomal Skin Complications with Negative Pressure Wound Therapy: A Case Study

Maculotti¹,

D²

2016

Anat Physiol

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Aim: Estimate the effectiveness of the Negative Pressure Wound Therapy (NPWT) into managing a complex peristomal skin complication in a patient with a urostomy. The goal was to improve the conditions of the skin in order to concede stoma management with the appropriate ostomy device. The clinical condition of the patient was exasperated by her overall status: advanced neoplasia, skin deterioration and diabetes. Methods: The subject had a urostomy (Wallace 2) caused by advanced bladder cancer; she presented a peristomal skin lesion L4-TV according to Studio Alterazioni Cutanee Stomali (Study on Peristomal Skin Lesions [SACSTM Instrument]). The treatment with advanced dressings as per current protocol did not improve her clinical status. After this phase the subject was treated with Negative Pressure Wound Therapy. A total of four dressings were changed every 72 hours. Results: In just 12 days the skin lesion improved greatly to L3 / T1-T4; this allowed correct management of the stoma with the appropriate ostomy device for the following month. During follow-up visits we appraised a day to day improvement of her peristomal skin condition. The medication was very well received by her; no negative effects nor did intolerance occur. Conclusions: This case study allowed us to observe the use of Negative Pressure Wound Therapy as an effective substitute treatment in case of difficult peristomal skin lesions. The technique is safe, efficient, moneysaving and comfortable for patients.

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“…In addition to the smaller sizes of these devices, sNPWT devices may reduce the frequency of dressing changes, and the pain associated with these changes, and decrease the amount of skilled nursing time required for wound manaement. 8 The administrative support costs associated with rental-based traditional systems are also eliminated, and nonpowered options may be essential in certain geographic regions of the world or in other situations where access to electricity is limited. 8 Variability in costs and insurance coverage also must be considered when making decisions about use of an sNPWT device.…”

Section: Clinical Applicationmentioning

confidence: 99%

“…8 The administrative support costs associated with rental-based traditional systems are also eliminated, and nonpowered options may be essential in certain geographic regions of the world or in other situations where access to electricity is limited. 8 Variability in costs and insurance coverage also must be considered when making decisions about use of an sNPWT device. When managing an open wound, sNPWT should be considered after standard wound care has not been effective in demonstrating wound healing.…”

Section: Clinical Applicationmentioning

confidence: 99%

Single-Use Negative Pressure Wound Therapy Devices

Crumley¹

2021

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE:The purpose of this technologic analysis was to evaluate single-use negative pressure wound therapy (sNPWT) devices. APPROACH: Published literature regarding negative pressure wound therapy, particularly focusing on single-use or disposal devices, was reviewed. Varied features of devices currently available in the United States were drawn from use instructions published by individual manufacturers. Safety information regarding sNPWT was derived from the Manufacturer and User Facility Device Experience (MAUDE) Database. CONCLUSIONS: Single-use or disposable negative pressure wound therapy devices provide a safe and effective alternative to traditional negative pressure wound therapy. These devices promote healing of select open wounds and reduce complication rates in closed surgical incisions, when used in accordance with manufacturer guidelines. They may be used in any setting, but they are designed for use in home care and may be applied as a primary treatment option or following a course of traditional negative pressure wound therapy.

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Mechanically Powered Ambulatory Negative Pressure Wound Therapy Device for Treatment of a Colostomy Takedown Site

Cited by 6 publications

References 7 publications

Challenges in the Treatment of Chronic Wounds

Challenges in the Treatment of Chronic Wounds

Management of Peristomal Skin Complications with Negative Pressure Wound Therapy: A Case Study

Single-Use Negative Pressure Wound Therapy Devices

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