Topical negative pressure and necrotising fasciitis

Abstract

This article highlights the importance of using evidence-based practice to improve wound care and support clinical practice. It appraises the literature on the use of topical negative pressure therapy for the treatment of complex, acute and chronic wounds. In an effort to contribute to the substantial evidence already available in support of this therapy, a clinical example of how effective it was at managing necrotising fasciitis is described.

Intercostobrachial Nerve Injury from Axillary Dissection Resulting in Necrotizing Fasciitis After a Burn Injury

“…It has been shown that VAC has the ability to reduce edema (24) and it may well be part of the optimal management of complications of lymphedema where there is skin loss. Other authors have reported its successful use with necrotizing fasciitis in various anatomic locations, but not in conjunction with a burn (25–28).…”

Necrotising Fasciitis

“…Topical negative pressure dressings have been found to reduce the wound areas and to control exudate. They have also been shown to considerably diminish the healing period (Copson 2003). The patient may require skin grafts at a later date.…”