Negative Pressure Wound Therapy Journal 2019-07-19T01:08:47+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> Negative Pressure Wound Therapy for Necrotizing Fasciitis and Compartment Syndrome of the Upper Extremity — a case report 2019-07-19T01:08:46+02:00 Attila Enyedi Gábor Mudriczki Tamás Bazsó Ferenc Győry Zsolt Susán László Damjanovich Zsolt Szentkereszty <p>Background: Necrotizing fasciitis (NF) is a lifethreatening<br>infection of the subcutaneous tissues that spreads<br>along the underlying fascia. Despite the early and aggressive<br>surgical fasciotomy and necrectomy, its mortality rate is still<br>high. In NF the negative pressure wound therapy (NPWT)<br>shows good effects on wound healing and on the primary closure<br>of the concomitant extended tissue defects.<br>Case report: A 32-year-old male patient was admitted with<br>a four-day history of fever (39.1C), pain, swelling, erythema<br>of the right elbow and the upper arm. On admission, extensive<br>erythema and swelling were seen on the right forearm, arm,<br>and the pectoral region with superficial skin bullae. Based on<br>the clinical symptoms and laboratory tests immediate surgery<br>was indicated. Extended fasciotomy and necrosectomy were<br>performed on the full extremity and pectoral region. Negative<br>pressure wound therapy was started immediately afterward<br>with -120 mmHg concomitantly with antibiotic therapy.<br>Results: After five cycles of NPWT the patient recovered<br>without needing any plastic surgical intervention. The functional<br>and aesthetic results were excellent.<br>Conclusion: In the case of extended NF of the upper extremity<br>the aggressive surgery and NPWT are relatively safe and<br>effective.</p> 2019-04-04T23:12:25+02:00 ##submission.copyrightStatement## From fistula to disability. Severe infection due to anal fistula treated with NPWT — case report 2019-07-19T01:08:47+02:00 Mateusz Szyntor Radosław Wojciechowski Magdalena Surudo <p><span style="font-weight: 400;">Negative pressure wound therapy (NPWT) is increasingly used to facilitate wound healing. There are various types of wounds - primarily closed or open, clean or infected, superficial or deep-penetrating, open abdomen, enteroatmospheric fistulae, burns etc. and almost each of these might be healed with the help of NPWT. It seems to be the most beneficial in hard-to-heal wounds. Using sub-atmospheric pressure, we can significantly accelerate the separating of necrotized tissues, stop inflammation,promote granulation, and drain the difficult wounds effectively. Typically, an optimum pressure range of –80 to –125 mmHg is administered. Few contraindications for the use of NPWT are challenged by new reports showing benefits in situations where NPWT was previously forbidden, (i.e. malignancy or bleeding in the wound), increasing the quality of life and avoiding wound infections. There is a growing body of data for new methods of treating anal fistula in the literature, but there is no data for elective treatment with NPWT. Attempts to develop NPWT protocols are problematic due to the diversity of cases and the frequent need for a personalized therapeutic approach.</span></p> <p><span style="font-weight: 400;">This paper presents a 56-year-old male patient suffering from severe, purulent inflammation of groin, inguinal, anal and left gluteal sites; septic, malnourished, depressed, in worsening general status for 3 years. Computed tomography and colonoscopy did not reveal pathology except for purulent inflammation. At the beginning, the patient was treated symptomatically with antibiotics, colostomy and surgical excision facilitated with NPWT. Anal fistulae were found after a large excision. A medium-thick skin transplantation was performed and well accepted in over 90%. This was a 103-day-long treatment with numerous complications. Finally, the wound healed completely and the patient was restored to his full physical and mental abilities.</span></p> <p><span style="font-weight: 400;">NPWT used in this case allowed for inflammation control, extensive wound healing and closing the anal fistula with no recurrence.</span></p> 2019-04-04T23:11:54+02:00 ##submission.copyrightStatement## The role of negative pressure wound therapy in the treatment of pilonidal disease 2019-07-19T01:08:47+02:00 Jan Chmielecki Josephine Ferenc Tomasz Banasiewicz <p>Pilonidal disease is a particularly difficult disorder<br>to treat. Guidelines and recommendations for the treatment of<br>pilonidal disease neglect the use of negative pressure wound<br>therapy (NPWT), but studies strongly support the role of NPWT<br>in preventing surgical site infection in high-risk patients.<br>During a webinar on the pilonidal disease, we asked 51<br>participants to complete a questionnaire about the treatment<br>of pilonidal disease. They answered questions about treatment<br>practices for patients with a pilonidal disease, and the use of<br>NPWT.<br>The study showed that a relatively large number of surgeons<br>use NPWT to treat patients with the pilonidal disease. The<br>majority of them are satisfied with maintaining the tightness<br>and effectiveness of a vacuum dressing and would use the<br>single-use NPWT systems if they were more easily available and<br>affordable. It seems that the NPWT in the pilonidal disease is<br>increasingly used and this method is gaining popularity among<br>practitioners.</p> 2019-04-04T23:11:18+02:00 ##submission.copyrightStatement##