Use of domestic negative pressure wound therapy in traumatic wounds for a cost-effective wound closure

Amouzou, Komla Séna; Haidara, Tiemoko M; Malonga-Loukoula, Elodie Joyce Lucrece; Diouri, Mounia; Ezzoubi, M

doi:10.4103/njps.njps_14_17

Cited by 2 publications

(5 citation statements)

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Section: Discussionmentioning

confidence: 84%

“…NPWT promotes granulation tissue formation and this is believed to occur through the application of mechanical forces that reduce interstitial oedema, stimulate angiogenesis and thereby increase blood flow and tissue growth. 10,12,13 This was clearly demonstrated in a similar proportion of patients where patented equipment was used. 14,15 Granulation formation is facilitated with NPWT over exposed bone with periosteum, while in exposed bones without periosteum, NPWT facilitates the separation of desiccated cortex and the formation of granulation tissue beneath it.…”

Section: Discussionmentioning

confidence: 88%

“…NPWT, a novel advance in wound care, has been shown by many authors to be useful in successful management of various types of complex wounds. 1,3,[8][9][10][11][12][13] Patented NPWT machines and their accessories are not usually affordable, but improvised devices costing about 20 times less are equally effective.…”

Section: Discussionmentioning

confidence: 99%

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Experience with use of improvised negative pressure wound therapy in the management of wounds with exposed bone

Uwakwe

Okenwa

2020

Trop Doct

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Wounds with exposed bone pose a significant challenge in healing. Negative pressure wound therapy has simplified reconstructive options. In economically constrained regions, this has been modified with materials that are affordable. Its effect on such wounds has not been well studied and so case summaries of 15 patients with 17 wounds who were managed with modified negative pressure wound therapy at Ntasiobi Specialist Hospital and ESUT Teaching Hospital between 2015 and 2019 were obtained. The procedure progressed satisfactorily in 88% of patients with granulation tissue covering the bones while the procedure was discontinued in 12%. The modified negative pressure wound therapy achieves similar results as the patented version and is recommended where resources are limited.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 88%

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Experience with use of improvised negative pressure wound therapy in the management of wounds with exposed bone

Uwakwe

Okenwa

2020

Trop Doct

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“…There was a limited room left for surgery of the magnitude of a double-free flap in our centre at this time. We decided to manage the patient according to our previous experience in using negative pressure wound therapy [ 6 ]. Multiple surgical debridements were necessary to remove all the necrotic tissues.…”

Section: Patient and Observationmentioning

confidence: 99%

“…In settings where flap surgery is not possible due to technical or environmental factors, trauma teams need to find out ways to minimize the procedure without adding on the morbidity to the patient. In our Department, we used in the past a negative domestic pressure wound therapy (NPWT) to convert limited cases needing flap coverage into skin graft coverage with good results [ 6 ]. We applied the same procedure to this more severe case of crush and degloving injury, because of the requirements of the moment.…”

Section: Introductionmentioning

confidence: 99%

Use of domestic tools to downstage the reconstructive ladder in a patient with severe crush and degloving injury, a case report

Harti¹,

Amouzou²,

Jacques³

et al. 2020

Pan Afr Med J

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In the COVID-19's crisis, elective surgery and non-emergent cases were postponed; all other procedures have to be minimized. A 17-year male patient with severe crush and degloving injury over the thigh, gluteal, sacral, and perineum areas was admitted to our Department on the 16 th of March 2020. The patient presented soft tissue skin and muscle loss. A double Latissimus Dorsi and Anterolateral Thigh free flaps were indicated. However, due to the particular circumstance of the COVID-19 crisis, we applied domestic negative wound therapy (NPWT) using gauzes and wall suction. We obtained suitable granulation tissue after 17 consecutive days with this treatment. The raw area was then covered with an expanded split-thickness skin graft. The wound healed at 95%, and the patient was discharged on 25 th of April 2020. He was followed up in an outpatient setting with wound care and physiotherapy. This case showed that in a limited-resource setting, with available wall suction, the domestic NPWT is a versatile tool to promote granulation tissue.

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Use of domestic negative pressure wound therapy in traumatic wounds for a cost-effective wound closure

Cited by 2 publications

References 1 publication

Experience with use of improvised negative pressure wound therapy in the management of wounds with exposed bone

Experience with use of improvised negative pressure wound therapy in the management of wounds with exposed bone

Use of domestic tools to downstage the reconstructive ladder in a patient with severe crush and degloving injury, a case report

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