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Negative pressure wound therapy updates for 2021


Authors: R. Doležel;  K. Menclová;  P. Svoboda;  R. Pohnán
Authors‘ workplace: Chirurgická klinika 2. lékařské fakulty Univerzity Karlovy, Ústřední vojenská nemocnice Praha – Vojenská fakultní nemocnice
Published in: Rozhl. Chir., 2021, roč. 100, č. 5, s. 218-226.
Category: Review
doi: https://doi.org/10.33699/PIS.2021.100.5.219–227

Overview

Negative pressure wound therapy (NPWT) has been used in clinical practice for 25 years. Worldwide, it has been used to treat more than 10 million wounds. The repertoire of NPWT procedures is still growing. This originally simple procedure entails a number of pitfalls and limits, and full utilisation of the micro-deformation potential of NPWT depends on many key details. We present the pathophysiology, effects and forms of NPWT use including our own experience, tips and a proposal for the use of NPWT during the COVID-19 pandemic.

Keywords:

enteroatmospheric fistula – laparostomy – egative pressure wound therapy –surgical site infection – COVID-19 pandemic


Sources

1. Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg. 1997;38(6):563−576. doi:10.1097/00000637-199706000- 00002.

2. McCallon SK, Knight CA, Valiulus JP, et al. Vacuum-assisted closure versus saline- moistened gauze in the healing of postoperative diabetic foot wounds. Ostomy Wound Manage. 2000;46(8):28−32.

3. Joseph E, Hamori CA, Bergman S, et al. A prospective randomized trial of vacuum-assisted closure versus standard therapy of chronic nonhealing wounds. Wounds: A Compendium of Clinical Research and Practice 2000;12:60–67.

4. Bobkiewicz A, Banasiewicz T, Ledwosiński W, et al. Medical terminology associated with negative pressure wound therapy (NPWT). Under-standing and misunderstanding in the field of NPWT. Negative Pressure Wound Therapy 2014;1:69−73.

5. Mouës CM, Vos MC, van den Bemd GJ, et al. Bacterial load in relation to vacuum-assisted closure wound therapy: a prospective randomized trial. Wound Repair Regen. 2004;12(1):11−17. doi:10.1111/ j.1067-1927.2004.12105.x.

6. Zhang L, Weng T, Wu P, et al. The combined use of negative-pressure wound therapy and dermal substitutes for tissue repair and regeneration. BioMed Research International 2020;8824737. doi:10.1155/2020/8824737.

7. Banwell PE, Téot L. Topical negative pressure (TNP): the evolution of a novel wound therapy. J Wound Care 2003;12(1):22−28. doi:10.12968/jowc.2003.12.1.26451.

8. Šimek M, Bém R. Podtlaková léčba ran. Praha, Maxdorf 2013.

9. Saxena V, Hwang CW, Huang S, et al. Vacuum- assisted closure: microdeformations of wounds and cell proliferation. Plast Reconstr Surg. 2004;114(5):1086−1096; discussion 1097−1098. doi:10.1097/01. prs.0000135330.51408.97.

10. Borgquist O, Gustafsson L, Ingemansson R, et al. Micro- and macromechanical effects on the wound bed of negative pressure wound therapy using gauze and foam. Ann Plast Surg. 2010;64(6):789−793. doi:10.1097/ SAP.0b013e3181ba578a.

11. Kremers L, Kearns M, Hammon D, et al. Involvement of mitogen activated protein kinases (map kinases) in increased wound healing during sub-atmospheric pressure (SAP) treatment. Wound Repair and Regeneration 2003;11(5):009.

12. Shiu YT, Weiss JA, Hoying JB, et al. The role of mechanical stresses in angiogenesis. Crit Rev Biomed Eng. 2005;33(5):431−510. doi:10.1615/critrevbiomedeng.v33.i5.10.

13. Labler L, Rancan M, Mica L, et al. Vacuum- assisted closure therapy increases local interleukin-8 and vascular endothelial growth factor levels in traumatic wounds. J Trauma 2009;66(3):749−757. doi:10.1097/TA.0b013e318171971a.

14. Kairinos N, Solomons M, Hudson DA. Negative-pressure wound therapy I: the paradox of negative-pressure wound therapy. Plast Reconstr Surg. 2009;123(2):589−598. doi:10.1097/ PRS.0b013e3181956551.

15. Apelqvist J, Willy C, Fagerdahl AM, et al. EWMA document: Negative pressure wound therapy. J Wound Care 2017;26(Sup3): S1-S154. doi:10.12968/ jowc.2017.26.Sup3.S1.

16. Fowler AL, Barry MK. Closed incision negative pressure therapy for laparotomy wounds: A review. Clin Surg. 2018;3:2123.

17. Chopra K, Tadisina KK, Singh DP. The ‘French Fry’ VAC technique: hybridisation of traditional open wound NPWT with closed incision NPWT. Int Wound J. 2016;13(2):216−219. doi:10.1111/ iwj.12266.

18. Lindstedt S, Malmsjö M, Hlebowicz J, et al. Comparative study of the microvascular blood flow in the intestinal wall, wound contraction and fluid evacuation during negative pressure wound therapy in laparostomy using the V.A.C. abdominal dressing and the ABThera open abdomen negative pressure therapy system. Int Wound J. 2015;12(1):83−88. doi:10.1111/iwj.12056.1.

19. Shweiki E, Gallagher KE. Assessing a safe interval for subsequent negative pressure wound therapy change after initial placement in acute, contaminated wounds. Wounds 2013;25(9):263−271.

20. Raizman R. Fluorescence imaging guided dressing change frequency during negative pressure wound therapy: a case series. J Wound Care 2019 1;28(Sup9):S28− S37. doi:10.12968/jowc.2019.28.Sup9. S28.

21. Lessing MC, James RB, Ingram SC. Comparison of the effects of different negative pressure wound therapy modes-continuous, noncontinuous, and with instillation-on porcine excisional wounds. Eplasty. 2013;13:e51.

22. Weed T, Ratliff C, Drake DB. Quantifying bacterial bioburden during negative pressure wound therapy: does the wound VAC enhance bacterial clearance? Ann Plast Surg. 2004;52(3):276−279; discussion 279−280. doi:10.1097/01. sap.0000111861.75927.4d.

23. Glass GE, Murphy GRF, Nanchahal J. Does negative-pressure wound therapy influence subjacent bacterial growth? A systematic review. J Plast Reconstr Aesthet Surg. 2017;70(8):1028−1037. doi:10.1016/j.bjps.2017.05.027.

24. Jentzsch T, Osterhoff G, Zwolak P, et al. Bacterial reduction and shift with NPWT after surgical debridements: a retrospective cohort study. Arch Orthop Trauma Surg. 2017;137(1):55−62. doi:10.1007/ s00402-016-2600-z.

25. Yang C, Goss SG, Alcantara S, et al. Effect of negative pressure wound therapy with instillation on bioburden in chronically infected wounds. Wounds 2017;29(8):240−246.

26. Matiasek J, Domig KJ, Djedovic G, et al. The effect of negative pressure wound therapy with antibacterial dressings or antiseptics on an in vitro wound model. J Wound Care 2017;26(5):236−242. doi:10.12968/jowc.2017.26.5.236.

27. Potter MJ, Banwell P, Baldwin C, et al. In vitro optimisation of topical negative pressure regimens for angiogenesis into synthetic dermal replacements. Burns 2008;34(2):164−174.

28. Schultz G, Bjarnsholt T, James GA, et al. Consensus guidelines for the identification and treatment of biofilms in chronic nonhealing wounds. Wound Repair and Regeneration 2017;25(5):744–757. doi:10.1111/wrr.12590.

29. Ngo QD, Vickery K, Deva AK. The effect of topical negative pressure on wound biofilms using an in vitro wound model. Wound Repair and Regeneration 2012;20(1):83–90. doi:10.1111/j.1524- 475x.2011.00747.x.

30. Choi WW, McBride CA, Kimble RM. Negative pressure wound therapy in the management of neonates with complex gastroschisis. Pediatr Surg Int. 2011;27(8):907−911. doi:10.1007/ s00383-011-2868-6.

31. Norman G, Goh EL, Dumville JC, et al. Negative pressure wound therapy for surgical wounds healing by primary closure. Cochrane Database Syst Rev. 2020;5(5):CD009261. doi:10.1002/14651858.CD009261.pub5.

32. Willy C, Agarwal A, Andersen CA, et al. Closed incision negative pressure therapy: international multidisciplinary consensus recommendations. Int Wound J. 2017;14(2):385−398. doi:10.1111/ iwj.12612.

33. Gupta S. Optimal use of negative pressure wound therapy for skin grafts. Int Wound J. 2012;9 Suppl 1:40–47. doi:10.1111/j.1742-481X.2012.01019.x.

34. Quintero EC, Machado JFE, Robles RAD. Meek micrografting history, indications, technique, physiology and experience: a review article. J Wound Care 2018 Feb 1;27(Sup2):S12−S18. doi:10.12968/ jowc.2018.27.Sup2.S12.

35. Smith OJ, Edmondson SJ, Bystrzonowski N, et al. The CelluTome epidermal graft-harvesting system: a patient-reported outcome measure and cost evaluation study. Int Wound J. 2017;14(3):555−560. doi:10.1111/iwj.12644.

36. Cirocchi R, Birindelli A, Biffl WL, et al. What is the effectiveness of the negative pressure wound therapy (NPWT) in patients treated with open abdomen technique? A systematic review and meta-analysis. J Trauma Acute Care Surg. 2016 Sep;81(3):575−584. doi:10.1097/TA.0000000000001126.

37. Goverman J, Yelon JA, Platz JJ, et al. “Fistula VAC,” a technique for management of enterocutaneous fistulae arising within the open abdomen: report of 5 cases. J Trauma 2006;60(2):428−431; doi:10.1097/01.ta.0000203588.66012.c4.

38. Al-Khoury G, Kaufman D, Hirshberg A. Improved control of exposed fistula in the open abdomen. J Am Coll Surg. 2008;206(2):397−398. doi:10.1016/j.jamcollsurg. 2007.07.027.

39. Banasiewicz T, Becker R, Bobkiewicz A, et al. Prevention and therapy of acute and chronic wounds using NPWT devices during the COVID-19 pandemic, recommendation from The NPWT Working Group, Negative Pressure Wound Therapy Journal 2020;7(2):4−9. doi:10.18487/ npwtj.v7i2.58.

40. Meloni M, Izzo V, Vainieri E, et al. Management of negative pressure wound therapy in the treatment of diabetic foot ulcers. World J Orthop. 2015 18;6(4):387−393. doi:10.5312/wjo.v6.i4.387.

41. Björck M, Bruhin A, Cheatham M, et al. Classification-- important step to improve management of patients with an open abdomen. World J Surg. 2009;33(6):1154−1157. doi:10.1007/s00268-009-9996-3.

42. Mukhi AN, Minor S. Management of the open abdomen using combination therapy with ABRA and ABThera systems. Can J Surg. 2014;57(5):314−319. doi:10.1503/cjs.026613.

43. Kleif J, Fabricius R, Bertelsen CA, et al. Promising results after vacuum-assisted wound closure and mesh-mediated fascial traction. Dan Med J. 2012;59(9):A4495.

44. Lavery LA, Davis KE, La Fontaine J, et al. Does negative pressure wound therapy with irrigation improve clinical outcomes? A randomized clinical trial in patients with diabetic foot infections. Am J Surg. 2020;220(4):1076−1082. doi:10.1016/j.amjsurg.2020.02.044.

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Surgery Orthopaedics Trauma surgery
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