The Use of Negative Pressure Under Skin Flaps After Radical Mastectomy

Raffl, Arthur B.

doi:10.1097/00000658-195212000-00022

Cited by 62 publications

(10 citation statements)

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“…Foam and calcium alginate both have excellent absorbency. [4] Raffl was the first one to describe a practical way of continuous negative suction [5] and later its benefits were proven. [6] NPWT proved to be better than moist gauze dressings in diabetic feet, [7] effective in the treatment of chronic leg ulcers [8] and also showed better graft take p < .05.…”

Section: Discussionmentioning

confidence: 99%

Innovation in wound management with disposable, portable, cost-effective and non-powered NPWT device: Experience in general surgery

Bashir¹,

Ulain²,

O’Brien³

et al. 2017

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Wound management is vital part of surgery. We used a non-powered, disposable, portable Negative Pressure Wound Therapy dressing (NPWT) ("Nanova™", KCI™) on different types of surgical wounds treated in one Secondary Care Hospital in Ireland. It is easy to use and is self-operated by patients. It was trialled on three patients, was well tolerated, resulting in early mobility and return to daily activities, along with rapid recovery. There was no non-compliance or adverse effects to surrounding skin. The recovery time ranged from 2-3 weeks. The use of this device positively affected the clinical outcome and resulted in early discharge from hospital, quicker recovery and early return to daily activities.

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Section: Discussionmentioning

confidence: 99%

Innovation in wound management with disposable, portable, cost-effective and non-powered NPWT device: Experience in general surgery

Bashir¹,

Ulain²,

O’Brien³

et al. 2017

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“…Indeed there appears to be only one other trial (Morris, 1973) of wound drainage methods available and this was concerned with radical rather than simple mastectomy. Silvis et al (1955) reported excellent results in a consecutive series of radical mastectomies where suction drains had been used, and both Raffel (1952) 'and Sanders and Kinnaird (1958) reported and advocated the technique of suction drainage after radical mastectomy but gave minimal data to support their conclusions. Thoren (1964), in a consecutive study, found that suction drains were better than non-suction drains after radical mastectomy.…”

Section: Discussionmentioning

confidence: 99%

A comparison between suction and corrugated drainage after simple mastectomy: A report of a controlled trial

Bourke

Balfour

Hardcastle

et al. 1976

British Journal of Surgery

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A randomized prospective trial of closed suction wound drainage compared with corrugated wound drainage after simple mastectomy for early breast cancer (lesion confined to the breast and without skin ulceration) is reported. Fifty-one patients were admitted to the study and there was no difference between the two groups with respect to local complications such as ifection, skin necrosis and collection under flaps and wound healing. Dressings require to be performed significantly less frequently with suction as opposed to corrugated drainage and suction drains were removed significantly sooner than corrugated drains. It is concluded that closed suction wound drainage should be used after simple mastectomy.

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“…Originally, it was described as an alternative to pressure dressings after radical mastectomy with the goal of preventing serum collection and rapid tissue adaptation [8].…”

Section: Introductionmentioning

confidence: 99%

Soft Tissue Management in Open Fractures of the Lower Leg: The Role of Vacuum Therapy

Rancan

Keel

2008

Eur J Trauma Emerg Surg

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The management of severe open fractures of the lower leg continues to challenge the treating surgeon. Major difficulties include high infection rates as well as adequate temporary soft tissue coverage. In the past, these injuries were commonly associated with loss of the extremity. Today, vacuum therapy provides not only safe temporary wound coverage but also conditioning of the soft tissues until definitive wound closure. Amongst other advantages, bacterial clearance and increased formation of granulation tissue are attributed to vacuum therapy, making it an extremely attractive tool in the field of wound healing. However, despite its clinical significance, which is underlined by a constantly increasing range of indications, there is a substantial lack of basic research and well-designed studies documenting the superiority of vacuum therapy compared to alternative wound dressings. Vacuum therapy has been approved as an adjunct in the treatment of severe open fractures of the lower leg, complementing repeated surgical debridement and soft tissue coverage by microvascular flaps, which are still crucial in the treatment of these limb-threatening injuries. Vacuum therapy has in general proven useful in the management of soft tissue injuries and, since it is generally well tolerated and has low complication rates, it is fast becoming the gold standard for temporary wound coverage in the treatment of severe open fractures of the lower leg.

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The Use of Negative Pressure Under Skin Flaps After Radical Mastectomy

Cited by 62 publications

References 0 publications

Innovation in wound management with disposable, portable, cost-effective and non-powered NPWT device: Experience in general surgery

Innovation in wound management with disposable, portable, cost-effective and non-powered NPWT device: Experience in general surgery

A comparison between suction and corrugated drainage after simple mastectomy: A report of a controlled trial

Soft Tissue Management in Open Fractures of the Lower Leg: The Role of Vacuum Therapy

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