Negative Pressure Wound Therapy Journal 2020-07-08T16:54:54+02:00 Wojciech Francuzik Open Journal Systems <p>Diamond Open Access, peer-reviewed academic journal focused on the use of vacuum therapy.&nbsp;</p> <p>&nbsp;</p> Prevention and therapy of acute and chronic wounds using NPWT devices during the COVID-19 pandemic, recommendation from The NPWT Working Group 2020-07-08T16:54:54+02:00 Tomasz Banasiewicz Rolf Becker Adam Bobkiewicz Marco Fraccalvieri Wojciech Francuzik Martin Hutan Mike Laukoetter Marcin Malka Bartosz Mańkowski Zsolt Szentkereszty Csaba Toth Lenka Veverkov Sudheer Karlakki John Murphy Zielinski Maciej <p>Recent SARS-CoV-2 pandemic leading to a rapidly increasing number of hospitalizations enforced reevaluation of wound management strategies.</p> <p>The optimal treatment strategy for patients with chronic wounds and those recovering from emergency and urgent oncological surgery should aim to minimize the number of hospital admissions, as well as the number of surgical procedures and decrease the length of stay to disburden the hospital staff and to minimize viral infection risk.</p> <p>One of the potential solutions that could help to achieve these goals may be the extensive and early use of NPWT devices in the prevention of wound healing complications.</p> <p>Single-use NPWT devices are helpful in outpatient wound treatment and SSI prevention (ciNPWT) allowing to minimize in-person visits to the health care center while still providing the best possible wound-care. Stationary NPWT should be used in deep SSI and perioperative wound healing disorders as soon as possible. <br>Patient’s education and telemedical support with visual wound healing monitoring and video conversations have the potential to minimize the number of unnecessary in-person visits in patients with wounds and therefore substantially increase the level of care.</p> 2020-04-17T00:00:00+02:00 Copyright (c) 2020 Tomasz Banasiewicz, Rolf Becker, Adam Bobkiewicz, Marco Fraccalvieri, Wojciech Francuzik, Martin Hutan, Mike Laukoetter, Marcin Malka, Bartosz Mańkowski, Zsolt Szentkereszty, Csaba Toth, Lenka Veverkov, Sudheer Karlakki, John Murphy, Zielinski Maciej Severe deep neck infections successfully treated with negative pressure wound therapy with instillation - a case report 2020-06-23T17:50:36+02:00 Krzysztof Szmyt Adam Bobkiewicz Łukasz Krokowicz Tomasz Banasiewicz <p>Background: Deep neck infection (DNI) is a life-threatening complication associated with significant mortality and morbidity rates. The most common causes of DNI are the tonsilitis, dentitis, salivary glands inflammation, malignancies, and foreign bodies. As a result of neck infection, patients are at high risk of potential secondary complications which include: descending mediastinitis, pleural empyema, septicemia, jugular vein thrombosis, pericarditis. We presented a case of successful management of DNI with the utility of negative pressure wound therapy with instillation (iNPWT).</p> <p>Method: A 37-year-old male with deep neck infection due to dentitis was qualified for iNPWT. Due to previous incisions and drainage of the neck abscesses, some undermined wounds drained towards each other’s were revealed with an excessive amount of purulent content. Standard NPWT dressing was placed and polyurethane foam was covered with contact layer dressing. Additionally, an inflow drain was placed within one of the wounds in regard to instill an antimicrobial solution. The wound was instilled four times daily.</p> <p>Results: The patient underwent a total of eight iNWPT sessions. Locally, a reduction in purulent content was achieved with a decrease of wounds’ dimensions and improvement of wound bed granulation. Moreover, improvement of the patient’s general condition and decrease of inflammatory markers was achieved.</p> <p>Conclusions: iNPWT may play an important role in the management of combined, complicated wounds due to DNI. The instilled antimicrobial solution facilitates dissolving and removing of the purulent content that impairs the wound healing.</p> 2020-06-23T00:00:00+02:00 Copyright (c) 2020 Krzysztof Szmyt