Negative Pressure Wound Therapy: An Algorithm

被引：30

作者：

Desai, Kunj K. ^{[2
]}

Hahn, Edward ^{[2
]}

Pulikkotill, Benson ^{[2
]}

Lee, Edward ^{[1
]}

机构：

[1] Univ Med & Dent New Jersey, New Jersey Med Sch, Div Plast Surg, Newark, NJ 07103 USA

[2] New Jersey Med Sch UMDNJ, Dept Surg, Newark, NJ 07103 USA

来源：

CLINICS IN PLASTIC SURGERY | 2012年 / 39卷 / 03期

关键词：

Complications; Clinical evidence; Negative pressure wound therapy; NPWT; Subatmospheric pressure; Wound healing; VACUUM-ASSISTED CLOSURE; RANDOMIZED CONTROLLED-TRIAL; DIABETIC FOOT ULCERS; SUBATMOSPHERIC PRESSURE; ABDOMINAL CLOSURE; FASCIAL CLOSURE; OPEN ABDOMEN; COST-EFFECTIVENESS; SUCTION DRAINAGE; CLINICAL-TRIAL;

D O I：

10.1016/j.cps.2012.05.002

中图分类号：

R61 [外科手术学];

学科分类号：

100210 [外科学];

摘要：

Negative pressure wound therapy (NPWT) has overwhelmed the wound-healing world. A systematic review puts it into perspective. The authors have developed an algorithm after careful evaluation and analysis of the scientific literature supporting the use of these devices. This article describes mechanisms of action, technical considerations, wound preparation, and clinical evidence, reviews the literature, and discusses NPWT use in specific wounds, such as diabetic foot ulcers, open abdomen, pressure ulcers, open fractures, sterna wounds, grafts, and flaps. Contraindications for and complications of NPWT are outlined, and specific recommendations given for the situations in which the authors use NPWT.

引用

页码：311 / +

页数：15

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