Use of gauze-based negative pressure wound therapy in a pediatric burn patient

Psoinos, Charles M.; Ignotz, Ronald A.; Lalikos, Janice F.; Fudem, Gary M.; Savoie, P.-H.; Dunn, Raymond M.

doi:10.1016/j.jpedsurg.2009.09.022

Cited by 14 publications

(7 citation statements)

References 17 publications

(18 reference statements)

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“…The authors reported that negative pressure had enhanced the closure of incisional fistulae by better controlling drainage, reducing skin damage, reducing nursing costs and improving wound granulation and contraction. The technique uses moistened gauze as a wound interface and 80 mmHg of negative pressure (9,10). In a retrospective study, Campbell et al (14) proved the effectiveness of gauze as a wound filler material and applied the pressure at −80 mmHg for the duration of therapy.…”

Section: Discussionmentioning

confidence: 99%

“…A porous material (antimicrobial gauze or foam) is placed in the wound bed and enclosed using polyurethane films to form an airtight seal (3,4). This kind of dressing has been shown to be beneficial in a wide variety of wounds including pressure ulcers, leg ulcers, skin grafts, sternal and abdominal wounds, traumatic injuries, postfasciotomy closures and lymphorrhea (9–12). NPWT facilitates wound healing by two potential mechanisms: removing extra fluid and applying mechanical deformation.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical evaluation of gauze‐based negative pressure wound therapy in challenging wounds

Tuncel

Erkorkmaz

Turan

2012

International Wound Journal

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The aim of this randomised clinical study was to evaluate the effectiveness and safety of gauze-based negative pressure wound therapy (NPWT) in patients with challenging wounds. A total of 50 consecutive patients who had wound drainage for more than 5 days, required open wound management and had existence of culture positive infection were included the study. In this study, gauze-based NPWT was compared with conventional dressing therapy in the treatment of patients with difficult-to-heal wounds. The patients were randomly divided into two groups. Group I (n = 25) was followed by conventional antiseptic (polyhexanide solution) dressings, and group II (n = 25) was treated with saline-soaked antibacterial gauze-based NPWT. The wounds' sizes, number of debridement, bacteriology and recurrence were compared between group I and group II. The mean age of the patients was 59·50 years (range 23-97). In group I, average wound sizes of pre- and post-treatment periods were 50·60 ± 55·35 and 42·50 ± 47·92 cm(2), respectively (P < 0·001). Average duration of treatment was 25·52 ± 16·99 days, and average wound size reduction following the treatment was 19·99% in this group. In group II, the wounds displayed considerable shrinkage, accelerated granulation tissue formation, decreased and cleared away exudate. The average wound sizes in the pre- and post-treatment periods were 98·44 ± 100·88 and 72·08 ± 75·78 cm(2) , respectively (P < 0·001). Average duration of treatment was 11·96 ± 2·48 days, and average wound size reduction following the treatment was 32·34%. The patients treated with antibacterial gauze-based NPWT had a significantly reduced recurrence (2 wounds versus 14 wounds, P = 0·001), and increased number of the culture-negative cases (22 wounds versus 16 wounds, P < 0·047) in a follow-up period of 12 months. There was a statistically significant difference between two groups in all measurements. As a result, we can say that the gauze-based NPWT is a safe and effective method in the treatment of challenging infective wounds when compared with conventional wound management.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Clinical evaluation of gauze‐based negative pressure wound therapy in challenging wounds

Tuncel

Erkorkmaz

Turan

2012

International Wound Journal

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“…6,69 Antimicrobial-impregnated medical gauze sponge (Kerlix AMD, Covidien, Mansfield, MA, USA) has been used frequently in human medicine, but its use in veterinary medicine has not been reported. 17,67,[69][70][71][72] It seems to be particularly useful because of its ease of application and moldability. More fluid is retained in the wound with gauze than with foam or antimicrobial-impregnated mesh, despite the fact that pressure transduction within the wound is similar to that for foam or mesh.…”

Section: Howementioning

confidence: 99%

Current Concepts in Negative Pressure Wound Therapy

Howe

2015

Veterinary Clinics of North America: Small Animal Practice

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“…Because dressing changes can be rather painful an application of a non-adherent wound dressing on the burn wound surface combined with NPWT can be useful [27]. In 2009 a pediatric burn case was reported with close proximity to the anus which was treated with NPWT allowing 100% graft adhesion and no bacterial contamination [28]. The enhanced total body wrap is a novel technique which was introduced in 2013.…”

Section: Npwt In Burn Therapymentioning

confidence: 99%