scholarly journals Application of a Silicone Sheet in Negative-Pressure Wound Therapy to Treat an Abdominal Wall Defect after Necrotizing Fasciitis

2017 ◽  
Vol 44 (1) ◽  
pp. 76-79 ◽  
Author(s):  
Jin Su Shin ◽  
Hwan Jun Choi
Keyword(s):  
Necrotizing Fasciitis ◽  
Abdominal Wall ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Abdominal Wall Defect ◽  
Wound Therapy ◽  
Wall Defect ◽  
Silicone Sheet

scholarly journals Successful Use of Negative Pressure Wound Therapy for Abdominal Wall Necrosis Caused by a Perforated Ascending Colon Using the ABThera System

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Kouki Imaoka ◽  
Takuya Yano ◽  
Yasuhiro Choda ◽  
Ko Oshita ◽  
Yuma Tani ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Open Abdomen ◽  
Anterolateral Thigh Flap ◽  
Temporary Abdominal Closure ◽  
Ascending Colon ◽  
Wound Therapy ◽  
Pressure Therapy ◽  
New Device

Background. The practice of leaving the abdomen open after an emergency laparotomy has gained increasing popularity recently. Negative pressure wound therapy (NPWT) is known as an effective technique in the management of an open abdomen (OA). A new device, the ABThera™ Open Abdomen Negative Pressure Therapy System (KCI USA, San Antonio, TX, USA), was specifically designed to achieve a temporary abdominal closure (TAC) in the management of an OA. This study was aimed at presenting a successful experience of treating a case of abdominal wall necrosis caused by a perforated ascending colon using the ABThera System. Case Presentation. A 66-year-old man was admitted to our hospital with complaints of severe pain in the abdomen. On admission, abdominal contrast-enhanced computed tomography (CT) showed fluid collection, an air pocket in the subcutaneous fat layer of the abdominal wall, and edematous changes in the adipose tissue in the peritoneum and abdominal wall. Based on a diagnosis of peritonitis resulting from a perforated ascending colon, emergency surgery was performed. A right hemicolectomy, ileostomy construction, and debridement of the necrotic tissues were performed. However, necrotizing fasciitis rapidly spread; therefore, more necrotic tissue was debrided in a second operation. The abdominal wall defect was left open, and the ABThera System was used in the management of the OA; this device promoted wound healing. A reduction was observed in the size of the open wound with visible granulation tissue. The defect was finally covered with a mesh split-thickness skin graft and anterolateral thigh flap. Conclusions. In the management of a case of a massive wound with infection, it can be of great benefit to treat the wound with NPWT initially to decrease its size. The ABThera System could facilitate early and safe management of an OA by surgeons.

Incisional Negative-Pressure Wound Therapy Versus Conventional Dressings Following Abdominal Wall Reconstruction

2013 ◽  
Vol 71 (4) ◽  
pp. 394-397 ◽  
Author(s):  
Alexandra Condé-Green ◽  
Thomas L. Chung ◽  
Luther H. Holton ◽  
Helen G. Hui-Chou ◽  
Yue Zhu ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Abdominal Wall Reconstruction ◽  
Wound Therapy

The Successful Use of Negative-Pressure Wound Therapy in Two Cases of Canine Necrotizing Fasciitis

2015 ◽  
Vol 51 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Patrick Maguire ◽  
Joseph M. Azagrar ◽  
Allan Carb ◽  
Arnold Lesser
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Surgical Intervention ◽  
Management Tool ◽  
Wound Therapy ◽  
Hemolytic Streptococcus ◽  
Surgical Exploration ◽  
Systemic Symptoms

A 5 mo old female Akita and a 1 yr, 5 mo old male German shorthaired pointer were both evaluated for soft-tissue lesions characterized by rapidly expanding edema, erythema, and pain. Ultrasound was utilized to locate and sample fluid accumulations, and β-hemolytic Streptococcus was isolated from the wounds. Development of systemic symptoms including fever, tachycardia, and tachypnea as well as a lack of response to medical management prompted surgical intervention in both cases. During surgical exploration and debridement, disruption of intermuscular tissue planes was appreciated and necrotizing fasciitis (NF) was suspected. Negative-pressure wound therapy systems utilizing 120 mm Hg of continual negative pressure were applied to wounds for 5 and 4 days for the Akita and German shorthaired pointer, respectively. Resolution of infection was achieved and although the lesions were associated with limbs, amputation was avoided. In both cases, the results of histopathology were consistent with NF. NF is recognized as a rapidly progressive infection associated with high rates of morbidity and mortality. Timely use of negative-pressure wound therapy appears to be a viable management tool to accompany surgical debridement, appropriate antibiotics, and analgesics.

scholarly journals Successful Treatment of Necrotizing Fasciitis after Rectal Surgery with the Application of a Negative-pressure Wound Therapy: A Case Study

2015 ◽  
Vol 82 (6) ◽  
pp. 290-294 ◽  
Author(s):  
Yoshiaki Mizuguchi ◽  
Satoshi Matsumoto ◽  
Hayato Kan ◽  
Michihiro Koizumi ◽  
Shou Kuriyama ◽  
...  
Keyword(s):  
Necrotizing Fasciitis ◽  
Successful Treatment ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Rectal Surgery ◽  
Wound Therapy

scholarly journals Biomechanical Effects of Incisional Negative Wound Pressure Dressing: An Ex Vivo Model Using Human and Porcine Abdominal Walls

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Boris Jansen-Winkeln ◽  
Stefan Niebisch ◽  
Uwe Scheuermann ◽  
Ines Gockel ◽  
Matthias Mehdorn
Keyword(s):  
Abdominal Wall ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
High Pressures ◽  
Ex Vivo ◽  
Wound Care ◽  
Balloon Catheter ◽  
Ex Vivo Model ◽  
Wound Therapy ◽  
High Resolution Manometry

Introduction. Incisional negative pressure wound therapy (iNPWT) has been of recent interest in different surgical fields as beneficial outcomes on high-risk wounds have been reported. Nevertheless, its mechanisms of function are not widely studied to date. Methods. We established two ex vivo setups of iNPWT in porcine and human abdominal wall for measuring pressures within the wound which result from iNPWT application. For pressure measurements, a high-resolution manometry catheter and a balloon catheter probe were used in a wound sealed with either a commercially available PREVENA VAC kit or a self-made iNPWT kit. Furthermore, we evaluated seroma evacuation by iNPWT. Results. Both setups showed similar characteristics of pressure curves within the wound when applying increasing negative pressures. Application of high pressures did not result in a similar increase in wound pressure. Only subtotal evacuation of seroma by iNPWT application (about 75% of volume) could be detected. Conclusion. Our ex vivo model of iNPWT in porcine and human abdominal wall could show reproducible measurements of pressures within the wounds in both types of tissue. As intrawound pressures did not increase in the same way as the applied negative pressure, we suggest that our results do not advocate the idea of using iNPWT for wound care especially as seroma evacuation remains insufficient.

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