Negative PressureWound Therapy (NPWT) in open wound management: A study of 16 Cases in Orthopaedic Department of Faridpur Medical College Hospital.
Date
2012-07
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Abstract
Wound management is a major concern in open fracture cases. Negative Pressure Wound Therapy (NPWT) is an
advanced method for managing open wounds. It is a topical treatment using sub-atmospheric pressure to increase
blood flow, remove bacteria and increase growth of granulation tissue in the wound. The study was performed to
evaluate the results of NPWT in patients with open fracture in lower extremity. Using Aquarium pump as an NPWT
device, 16 patients were prospectly treated for open fractures in their inferior extremity. Mean patients' age range was
21 to 60 yrs. The patients under study either had suffered from trauma, fall or had post operative wound infection.
Many of them had wounds with underlying tendon or bone exposure. Necrotic tissues were debrided before applying
NPWT. Dressings were changed every 3rd or 4th day and treatments were continued for 07 to 28 days. Exposed
tendons and bones were successfully covered with healthy granulation tissue in all cases, depth of the wounds
reduced as well as surface areas. In 12 cases coverage of granulation tissue were achieved and further managed by
skin grafting, 4 cases with wound infections were closed with secondary suture. No significant complications were
noted regarding the treatment. NPWT was found to facilitate the rapid formation of healthy granulation tissue on
open wounds in lower extremity and thus to shorten healing time and minimize secondary soft tissue defect coverage
procedures.
Description
Keywords
Negative Pressure wound therapy, Open wound
Citation
Shaheed N, Chowdhury A S M J, Mondal A R, Paul A C, Akhter M S, Rahman A S M T, Islam M T, Chowdhur M M. Negative PressureWound Therapy (NPWT) in open wound management: A study of 16 Cases in Orthopaedic Department of Faridpur Medical College Hospital. Faridpur Medical College Journal. 2012 July; 7(2): 63-66.