Negative pressure wound therapy with instillation (NPWTi): Current status, recommendations and perspectives in the context of modern wound therapy.

  • Adam Bobkiewicz Department of General, Endocrinological Surgery and Gastroenterological Oncology Poznan University of Medical Sciences, Polan
  • Adam Studniarek Department of General, Endocrinological Surgery and Gastroenterological Oncology Poznan University of Medical Sciences, Poland
  • Michał Drews Department of General, Endocrinological Surgery and Gastroenterological Oncology Poznan University of Medical Sciences, Poland
  • Tomasz Banasiewicz Poznan University of Medical Sciences http://orcid.org/0000-0003-2809-6940

Abstract

Introduction of negative pressure wound therapy (NPWT) revolutionized the conception of wound healing. Currently, there are an increased number of studies confirmed the high efficiency of this therapy in many clinical scenarios. Moreover, some innovations have been introduced in recent years to improve the management of complex and chronic wound.

NPWT with instillation (NPWTi) combines traditional NPWT with application of topical irrigation solutions within bed of the wound. Bioburden reduction, decrease time to wound closure, promotion in granulation tissue formation, fewer operative visits have been revealed using NPWTi compared to standard NPWT.

However, there are still some questioned aspect of the NPWTi and thus its superiority over standard NPWT has not been fully indicated. Moreover, based on current studies no firm conclusions have been taken concerning the type of instilled solution preferably used, range of dwell- time phase, range of negative pressure and others.

The main goal of the publication is to overview and summarize the current state of art concerning NPWTi. Moreover, mechanisms of action, review of the most common used instilled solution are discussed and clinical evidence of NPWTi are described.

Author Biography

Tomasz Banasiewicz, Poznan University of Medical Sciences

PortraitMD, PHD, consulting surgeon

Employment & Affiliation : Chair and Department of General Surgery, Gastroenterological Surgical Oncology and Plastic Surgery, K. Marcinkowski University of Medical Sciences, Poznań, Poland

Professional education:

2010 post-PhD dissertation (Inflammation and adaptation of the GI tract after surgical resections)

2006-present member of the Polish Coloproctology Club, member of the Polish Society of Surgery

2005-present employment in Chair and Department of General, Gastroenterological and Endocrynological Surgery

2003-2010 - leader of the rescue team of the Emergency Helicopter Medical Service Poznań

2003-2010 - surgeon in the Surgical Unit, Regional Hospital Grodzisk Wkp

2003-2009 - surgeon in the Surgical Unit, Regional Hospital Środa Wlkp

2003 – dissertation “Angiogenesis in colorectal cancer

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Published
2016-04-02
How to Cite
Bobkiewicz, A., Studniarek, A., Drews, M., & Banasiewicz, T. (2016). Negative pressure wound therapy with instillation (NPWTi): Current status, recommendations and perspectives in the context of modern wound therapy. Negative Pressure Wound Therapy Journal, 3(1). https://doi.org/10.18487/npwtj.v3i1.23
Section
Reviews