EFFECT OF MODIFIED NEGATIVE PRESSURE WOUND THERAPY
Journal Title: World Journal of Pharmaceutical and Medical Research - Year 2018, Vol 4, Issue 8
Abstract
Background: Negative Pressure Wound Therapy (NPWT) or Vacuum Assisted Closure (VAC) is a method used to cover large wounds, decubitus ulcers and open fractures which cannot be closed either primarily or secondarily and which often requires skin graft or flaps or complex reconstructive procedure to cover the wound. Methods: We applied our modification of NPWT in 128 patients on large wounds, neglected wounds, large decubitus ulcers, fasciotomies and open fractures. Compared to the patented VAC system, our modification included presterilized foam, Saran® wrap or Glad® wrap, infant feeding tube or a nasogastric tube and bed side suction machine. Results: Majority of our cases were from open fractures. There were 98 cases of large soft tissue wounds, 3 cases of fasciotomies for compartment syndrome, 7 cases of peri-operative trauma infections, 16 cases of diabetic wounds and 4 decubitus ulcers. In our study, the average number of modified NPWT changes is 3 to 4, average number of days between modified NPWT changes is 3 to 5 days, and length of time modified NPWT applied before closure is 14 to 21 days. Most frequent mode of coverage is Split Thickness Skin Graft obviating the need of more complex flaps and microvascular reconstructive procedures. Conclusion: Our modifications are not inferior to the patented VAC but works just as well. The costs of our modifications are much less than the patented VAC, which is economical for our setting.
Authors and Affiliations
Dr. Muhammad Akhtar
Keywords
Related Articles
- EP ID EP665492
- DOI -
- Views 189
- Downloads 0
UTERINE SARCOMAS: A REPORT OF 10 CASES AND REVIEW OF LITERATURE
Background: Uterine sarcomas (US) area rare and aggressive malignant tumor, Due to their non-specific signs and symptoms, they are commonly diagnosed in advanced stage, the treatment includes a complete surgery and no st...
A STUDY OF VENTILATOR RELATED PNEUMONIA IN THE INTENSIVE CARE UNIT
Objectives: Ventilator-associated pneumonia (VAP) is a significant cause of hospital-related infections, one that must be prevented due to its high morbidity and mortality. The purpose of this study was to evaluate the i...
VITAMIN D SUPPLEMENTATION IMPROVES FEV1 IN PATIENTS OF BRONCHIAL ASTHMA
Background and Objective: Vitamin D deficiency has strong association with various respiratory disorders in which bronchial asthma is one of them. The objective was to determine the efficacy of vitamin D supplementation...
INFLUENCE OF THE NOISE ON THE BEHAVIO R OF FEMALE WISTAR RATS
Noise is one of the harmful agents to homeostasis and is linked to many branches of economic activity. It may cause hearing impairment, insomnia, annoyance, mental illness, cardiovascular diseases, work inefficiency, mod...
MEDICAL STUDENTS AND BASIC MEDICAL SCIENCES FACULTIES' PERCEPTION OF HANDWRITTEN INDIVIDUAL ASSIGNMENTS AS A TOOL FOR LEARNING AND A METHOD OF ASSESSMENT
Objective: The aim of this study is to assess the perception of students and staff about handwritten assignments as a tool of learning and a method of medical student assessment. Design: A Cross-Sectional study to evalua...