UrgoTul® Ag/Silver dressing as an intermediate layer in negative pressure wound therapy in a patient with a chronic wound and history of multiple laparotomies

Domagalska, Dorota; Bobkiewicz, Adam; Drewa, T.; Banasiewicz, Tomasz

doi:10.15374/lr2018013

Cited by 2 publications

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“…On the other hand, different dressings may be used in such a clinical situation. 20 Another option, dedicated for this type of wound is polyvinyl alcohol foam (PVA). Unfortunately, in the presented case the purulent exudation was too dense to be effectively suctioned by PVA foam.…”

Section: Discussionmentioning

confidence: 99%

Severe deep neck infections successfully treated with negative pressure wound therapy with instillation - a case report

Szmyt

Bobkiewicz

Krokowicz

et al. 2020

NPWTJ

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Background: Deep neck infection (DNI) is a life-threatening complication associated with significant mortality and morbidity rates. The most common causes of DNI are the tonsilitis, dentitis, salivary glands inflammation, malignancies, and foreign bodies. As a result of neck infection, patients are at high risk of potential secondary complications which include: descending mediastinitis, pleural empyema, septicemia, jugular vein thrombosis, pericarditis. We presented a case of successful management of DNI with the utility of negative pressure wound therapy with instillation (iNPWT). Method: A 37-year-old male with deep neck infection due to dentitis was qualified for iNPWT. Due to previous incisions and drainage of the neck abscesses, some undermined wounds drained towards each other’s were revealed with an excessive amount of purulent content. Standard NPWT dressing was placed and polyurethane foam was covered with contact layer dressing. Additionally, an inflow drain was placed within one of the wounds in regard to instill an antimicrobial solution. The wound was instilled four times daily. Results: The patient underwent a total of eight iNWPT sessions. Locally, a reduction in purulent content was achieved with a decrease of wounds’ dimensions and improvement of wound bed granulation. Moreover, improvement of the patient’s general condition and decrease of inflammatory markers was achieved. Conclusions: iNPWT may play an important role in the management of combined, complicated wounds due to DNI. The instilled antimicrobial solution facilitates dissolving and removing of the purulent content that impairs the wound healing.

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Section: Discussionmentioning

confidence: 99%

Severe deep neck infections successfully treated with negative pressure wound therapy with instillation - a case report

Szmyt

Bobkiewicz

Krokowicz

et al. 2020

NPWTJ

View full text Add to dashboard Cite

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Principles of minimize bleeding and the transfusion of blood and its components in operated patients – surgical aspects

Banasiewicz,

Machała,

Borejsza Wysocki

et al. 2023

Pol Przegl Chir

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One of the target of perioperative tratment in surgery is decreasing intraoperative bleeding, which increases the number of perioperative procedures, mortality and treatment costs, and also causes the risk of transfusion of blood and its components. Trying to minimize the blood loss(mainly during the operation) as well as the need to transfuse blood and its components (broadly understood perioperative period) should be standard treatment for a patient undergoing a procedure. In the case of this method, the following steps should be taken: 1) in the preoperative period: identyfication of risk groups as quickly as possible, detecting and treating anemia, applying prehabilitation, modyfying anticoagulant treatment, considering donating one's own blood in some patients and in selected cases erythropoietin preparations; 2) in the perioperative period: aim for normothermia, normovolemia and normoglycemia, use of surgical methods that reduce bleeding, such as minimally invasive surgery, high-energy coagulation, local hemostatics, prevention of surgical site infection, proper transfusion of blood and its components if it occurs; 3) in the postoperative period: monitor the condition of patients, primarily for the detection of bleeding, rapid reoperation if required, suplementation (oral administration preferred) nutrition with microelements (iron) and vitamins, updating its general condition. All these activities, comprehensively and in surgical cooperation with the anesthesiologist, should reduce the blood loss and transfusion of blood and its components.

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UrgoTul® Ag/Silver dressing as an intermediate layer in negative pressure wound therapy in a patient with a chronic wound and history of multiple laparotomies

Cited by 2 publications

References 0 publications

Severe deep neck infections successfully treated with negative pressure wound therapy with instillation - a case report

Severe deep neck infections successfully treated with negative pressure wound therapy with instillation - a case report

Principles of minimize bleeding and the transfusion of blood and its components in operated patients – surgical aspects

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