Negative Pressure Wound Therapy to the Dura

Pujji, Ojas; Farrar, Edmund; Jeffery, Steven

doi:10.1097/bcr.0000000000000578

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Npwt In Spine1

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2022

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“…Some sources recommend reduced pressure in wounds with exposed dura (e.g., 50 mm Hg vs. 125 mm Hg) [ 42 ]. This is echoed by a case report describing the safe application of NPWT to the dura in a patient with a severe scalp burn [ 54 ].…”

Section: Npwt In Spinementioning

confidence: 99%

Negative Pressure Wound Therapy in Spinal Surgery

et al. 2022

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Negative pressure wound therapy (NPWT) has demonstrated promise in the management of surgical site infections as well as assisting in surgical wound healing. In this manuscript, we describe the mechanisms and applications of NPWT for surgical wounds and existing evidence for NPWT in cardiac, plastic, and general surgery, followed by a discussion of the emerging evidence base for NPWT in spinal surgery. We also discuss the different applications of NPWT for open wounds and closed incisions, and the promise of newer closed-incision NPWT (ciNPWT) devices. There is nominal but promising prospective evidence on NPWT’s efficacy in select at-risk populations for post-operative wound complications after spinal surgery. As there is currently a paucity of robust clinical evidence on its efficacy, rigorous randomized prospective clinical trials are needed.

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Section: Npwt In Spinementioning

confidence: 99%