Negative Pressure Wound Therapy Systems

Mt

Jan-Fab., 2011

WOUNDEX- Common goals of negative pressure wound therapy

• Promote rapid reduction in wound volume
• Promote growth of granulation tissue and contraction to another treatment modality
• Manage exudate
• Prepare the wound bed for transition to another treatment modality such as MWH, surgical closure, or a flap or graft.
• Reduce bioburden*
• Decrease hospital stay length
• Decrease morbidity and mortality
• Decrease frequency of dressing change
• Prevent deterioration of the wound
• Minimize contamination and wound odor by providing a temporary barrienr
• Improve quality of life

WOUNDEX - The main roles of NPWT in traumatic and surgical wounds are:

• To provide a bridge to definitive surgical closure
• To achieve delayed primary closure using fasciocutaneous flap, muscle flap, or skin graft
• To achieve secondary closure with an MWH dressing

Recommendations for the use of negative pressure wound therapy in patients with traumatic or surgical wounds

• Wounds with a large amount of soft tissue loss
• Necrotizing fasciitis
• Degloving injury
• Subcutaneous in filtration injuries with extravasation
• Abscess
• Open amputation
• Post-tumorablation
• Dehisced surgical incisions that do not requier re-xploration
• Abdominal compartment syndrome
• Open-extremity fractures that are complex and have significant soft tissue loss