Necrotising fasciitis in a domestic shorthair cat - negative pressure wound therapy assisted debridement and reconstruction

2014 ◽  
Vol 56 (4) ◽  
pp. 281-284 ◽  
Author(s):  
M. C. Nolff ◽  
A. Meyer-Lindenberg
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Necrotising Fasciitis ◽  
Wound Therapy

scholarly journals Management of Periorbital Necrotising Fasciitis Utilising Negative Pressure Wound Therapy: A Case Report

2019 ◽  
pp. 126-130
Author(s):  
Anna Michelle Waldie ◽  
Fiona S Lau ◽  
Jenny L Hepschke ◽  
Ian C Francis ◽  
Geoffrey Wilcsek
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Surgical Debridement ◽  
Necrotising Fasciitis ◽  
Tissue Destruction ◽  
Wound Therapy ◽  
Traditional Management ◽  
The Face ◽  
Significant Mortality

Necrotising fasciitis is a fulminant, rapidly progressive infection associated with extensive tissue destruction and significant mortality. Given the robust blood supply of the face, periorbital necrotising fasciitis is rare in this region. Traditional management consists of prompt initiation of antibiotics and adequate surgical debridement. This report documents the outcome of Type 2 periorbital necrotising fasciitis in a 49-year-old, immunocompetent man, in whom negative pressure wound therapy, was combined with conventional measures. The negative pressure wound therapy was applied directly to the involved orbit, suggesting its safety and efficacy in relation to use over the orbit. Negative pressure wound therapy may be a useful adjunct to the armamentarium of the oculoplastic surgeon for the reconstruction of periorbital defects produced by the surgical debridement of periorbital necrotising fasciitis.

Post-traumatic necrotising fasciitis of the breast: a case study with literature review

2019 ◽  
Vol 28 (11) ◽  
pp. 775-778 ◽  
Author(s):  
Ashish Gupta ◽  
Amit Gupta ◽  
Bina Ravi ◽  
Mukund Mundra ◽  
Harindra Sandhu ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Literature Review ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Necrotising Fasciitis ◽  
Wound Therapy ◽  
Healthy Female ◽  
Post Traumatic

Necrotising fasciitis is a rare infection of the skin and underlying soft tissue. It primarily involves the extremities and rarely the breast. Primary necrotising fasciitis of the breast in a non-lactating, healthy female is rarer still. The authors present the case report of a patient presenting with primary necrotising fasciitis of the breast after sustaining a penetrating injury. The patient was managed successfully with serial debridement and negative pressure wound therapy (NPWT). To our knowledge only 19 such cases have been reported in the indexed literature so far. This is also the eighth case globally of primary necrotising fasciitis of the breast in a non-lactating female without any associated immunosuppression, which is the basis of reporting this case.

Surgical intervention and customised dressings in an extremity wound caused by necrotising fasciitis: a case study

2019 ◽  
Vol 28 (Sup5) ◽  
pp. S21-S27
Author(s):  
Jessica Collins
Keyword(s):  
Upper Extremity ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Surgical Intervention ◽  
Surgical Techniques ◽  
Skin Grafting ◽  
Necrotising Fasciitis ◽  
Upper Arm ◽  
Wound Therapy ◽  
Limb Function

Necrotising fasciitis can result in extensive loss of soft tissue and limb function. Therefore, surgical intervention requires a balance between extensive tissue removal and saving the limb. A 56-year-old male presented with necrotising fasciitis of the upper extremity. Debridement resulted in a full-thickness wound of the forearm and upper arm, an exposed olecranon and two proximally-based skin flaps. Reconstruction required multiple debridements to optimise the wound for skin grafting and to obtain flap adherence to underlying tissues of the upper arm. Conventional dressings over the flaps proved unsuccessful. Therefore, a customised versatile dressing to address each area of the wound was developed. Negative pressure wound therapy (NPWT) was applied over the exposed muscle (no exposed bone or tendon) of the lower arm and anterior upper arm; a hydropolymer foam dressing covered the elbow region. Closed incision negative pressure wound therapy (ciNPT) was applied over the incision on the posterior upper arm. Ultimately, complete wound closure was achieved, with normal/near-normal range of motion for all joints of the affected limb. There was complete take of skin grafts on the wrist, lower arm and anterior upper arm. ciNPT was effective in holding the incision together and promoting healing of the posterior upper arm, and the hydropolymer foam dressing aided with healing and coverage of the elbow region. In this case, healing of a large, complex upper extremity wound and restored limb function were achieved following use of a combination of surgical techniques and customisation of wound therapy modalities.

Prevention of poststernotomy wound infections in obese patients by negative pressure wound therapy

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
O Grauhan ◽  
A Navasardyan ◽  
M Hofmann ◽  
P Müller ◽  
J Stein ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Obese Patients ◽  
Wound Infections ◽  
Wound Therapy

Experience of negative pressure wound therapy over sternal wound healing: A retrospective review

WCET Journal ◽  
2019 ◽  
Vol 39 (2) ◽  
pp. 9-18
Author(s):  
Wai Sze Ho ◽  
Wai Kuen Lee ◽  
Ka Kay Chan ◽  
Choi Ching Fong
Keyword(s):  
Wound Healing ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Assessment Tool ◽  
Wound Care ◽  
Wound Therapy ◽  
Treatment Pathways ◽  
Wound Assessment ◽  
One Year

Objectives The aim of this study was to retrospectively review the effectiveness of negative pressure wound therapy (NPWT) in sternal wound healing with the use of the validated Bates-Jensen Wound Assessment Tool (BWAT), and explore the role of NPWT over sternal wounds and future treatment pathways. Methods Data was gathered from patients' medical records and the institution's database clinical management system. Seventeen subjects, who had undergone cardiothoracic surgeries and subsequently consulted the wound care team in one year were reviewed. Fourteen of them were included in the analysis. Healing improvement of each sternal wound under continuous NPWT and continuous conventional dressings was studied. In total, 23 continuous NPWT and 13 conventional dressing episodes were analysed with the BWAT. Results Among conventional dressing episodes, sternal wound improvement was 2.5–3% over 10 days to 3.5 weeks, whereas 4–5% sternal healing was achieved in 5 days to 2 weeks with sternal wire presence. Better healing at 11% in 1 week by conventional dressing was attained after sternal wire removal. In NPWT episodes, 8–29%, 13–24%, and 15–46% of healing was observed in 2 weeks, 3.5 to 5 weeks and 6 to 7 weeks, respectively. Only 39% wound healing was acquired at the 13th week of NPWT in one subject. With sternal wire present, 6%–29% wound healing progress was achieved by NPWT in 1–4 weeks, and 16–23% wound improvement in 2 to 4.5 weeks by NWPT after further surgical debridement. After sternal wire removal, 6–34% sternal wound healing occurred by continuous NPWT for 1–2 weeks, and maximum healing at 46% after 2.5 weeks of NPWT were observed. Conclusions Better wound healing was achieved in the NPWT group in comparison to conventional dressings alone. However, suboptimal sternal wound healing by NPWT alone was observed. Removal of sternal wire may improve the effectiveness of NPWT. Successful tertiary closure after NPWT among subjects supports the important bridging role of NPWT in sternal wound healing. Factors causing stagnant sternal wound healing by NPWT alone are discussed.

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