scholarly journals A Modified Technique for Applying Closed Incision Negative Pressure Therapy Dressing Following Total Joint Arthroplasty

Cureus ◽  
2021 ◽  
Author(s):  
Shane Dowling ◽  
Timothy B Alton
Keyword(s):  
Total Joint Arthroplasty ◽  
Negative Pressure ◽  
Joint Arthroplasty ◽  
Negative Pressure Therapy ◽  
Modified Technique ◽  
Pressure Therapy

Incisional Negative Pressure Wound Therapy Dressing in Total Joint Arthroplasty: what is the evidence? A Meta-Analysis

2020 ◽  
Author(s):  
Wen-Xing Wei ◽  
Yi Zeng ◽  
Yuan Liu ◽  
Ming-Yang Li ◽  
Yuan-gang Wu ◽  
...  
Keyword(s):  
Randomized Controlled Trials ◽  
Total Joint Arthroplasty ◽  
Negative Pressure ◽  
Wound Dressing ◽  
Joint Arthroplasty ◽  
Controlled Trials ◽  
Negative Pressure Therapy ◽  
High Quality ◽  
Pressure Therapy ◽  
Randomized Controlled

Abstract Background The purpose of this study is to evaluate whether incisional negative pressure therapy dressing (iNPWT) has an advantage over conventional wound dressing (CWD) on wound healing for patients with total joint arthroplasty (TJA) Methods We searched the electronic databases including PubMed, The Cochrane Library, EMBASE via Ovid SP, Medline via Ovid SP, to screening published randomized controlled trials and high-quality cohort studies reported that incisional negative pressure therapy dressing applied in hip and knee arthroplasty. We analyzed the overall complications, major and minor complications, dressing changes, infection rate, and the rate of reoperation. The relevant data was analyzed by RevMan5.3. Results Six studies met our criteria, and included 1405 incisions in 971 participants with total joint arthroplasty which were randomized either to incisional negative pressure therapy dressing group (n=578) or to conventional wound dressing group (n=827) .The risk for developing a minor complication between two groups was not significantly different (risk ratio [RR] 0.58, p =0.40) and for major complication was also not significantly different (RR 0.71, p =0.39). In terms of dressing changes, the iNPWT was fewer than the control group ( P <0.05). The effect of rate of infection and reoperation was not significantly different (RR 0.65, p =0.27). Conclusions For patients underwent TJA, applying iNPWT may be associated with fewer dressing change, which maybe mean less exudation. There was no significant difference on the rate of infection and reoperation, and experiencing either minor or major complications between participants in whom iNPWT versus CWD were used for wound. However, more high-quality randomized or non-randomized controlled trials with larger sample sizes and cost-effectiveness analysis are required.

scholarly journals Incisional Negative Pressure Wound Therapy Dressing in Total Joint Arthroplasty: what is the evidence? A Meta-Analysis

2020 ◽  
Author(s):  
Wen-Xing Wei ◽  
Yi Zeng ◽  
Yuan Liu ◽  
Ming-Yang Li ◽  
Yuan-gang Wu ◽  
...  
Keyword(s):  
Randomized Controlled Trials ◽  
Total Joint Arthroplasty ◽  
Negative Pressure ◽  
Wound Dressing ◽  
Joint Arthroplasty ◽  
Controlled Trials ◽  
Negative Pressure Therapy ◽  
High Quality ◽  
Pressure Therapy ◽  
Randomized Controlled

Abstract Background The purpose of this study is to evaluate whether incisional negative pressure therapy dressing (iNPWT) has an advantage over conventional wound dressing (CWD) on wound healing for patients with total joint arthroplasty (TJA)MethodsWe searched the electronic databases including PubMed, The Cochrane Library, EMBASE via Ovid SP, Medline via Ovid SP, to screening published randomized controlled trials and high-quality cohort studies reported that incisional negative pressure therapy dressing applied in hip and knee arthroplasty. We analyzed the overall complications, major and minor complications, dressing changes, infection rate, and the rate of reoperation. The relevant data was analyzed by RevMan5.3.Results Six studies met our criteria, and included 1405 incisions in 971 participants with total joint arthroplasty which were randomized either to incisional negative pressure therapy dressing group (n=578) or to conventional wound dressing group (n=827) .The risk for developing a minor complication between two groups was not significantly different (risk ratio [RR] 0.58, p =0.40) and for major complication was also not significantly different (RR 0.71, p =0.39). In terms of dressing changes, the iNPWT was fewer than the control group ( P <0.05). The effect of rate of infection and reoperation was not significantly different (RR 0.65, p =0.27).Conclusions For patients underwent TJA, applying iNPWT may be associated with fewer dressing change, which maybe mean less exudation. There was no significant difference on the rate of infection and reoperation, and experiencing either minor or major complications between participants in whom iNPWT versus CWD were used for wound. However, more high-quality randomized or non-randomized controlled trials with larger sample sizes and cost-effectiveness analysis are required.

Negative pressure therapy – How many dressing changes are enough?

2012 ◽  
Vol 60 (S 01) ◽  
Author(s):  
S Raab ◽  
T Weimann ◽  
W Sienel ◽  
L Lampl ◽  
M Beyer
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Therapy ◽  
Pressure Therapy

Four Cases of Lower Extremity Ulcers Treated with Negative Pressure Therapy

2015 ◽  
Vol 77 (5) ◽  
pp. 456-460
Author(s):  
Maiko SAKAMOTO-TOYA ◽  
Sho MIAKE ◽  
Satoko SHIBATA-KIKUCHI ◽  
Masutaka FURUE
Keyword(s):  
Lower Extremity ◽  
Negative Pressure ◽  
Negative Pressure Therapy ◽  
Pressure Therapy

Negative Pressure Therapy in Wounds Surgical Treatment

2017 ◽  
Vol 68 (11) ◽  
pp. 2687-2690 ◽  
Author(s):  
Bogdan Mihnea Ciuntu ◽  
Stefan Octavian Georgescu ◽  
Ciprian Cirdeiu ◽  
Daniel Timofte ◽  
Doina Azoicai ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Healing Time ◽  
Negative Pressure Therapy ◽  
Simultaneous Application ◽  
Average Hospital ◽  
Pressure Therapy ◽  
Days Of Therapy ◽  
Functional Consequences ◽  
Time Required ◽  
A Prospective Study

The study aims to assess the significance of negative pressure therapy in the treatment of 1 January 2014 - 31 June 2017. The objectives intend to evaluate the healing time required after applying the method and the functional consequences for the patient. A prospective study was conducted on a sample of 31 patients with various tipe of wounds which were monitored their clinical course between September 2014 - February 2017, following negative pressure therapy. There were used vacuum assisted closure devices (VAC � -Hartman) in order to apply negative pressure to the wound, while complying with specified settings in accordance with patients� outcome. Healing was obtained in all cases, to an average hospital stay of 30 days and 12 days of therapy application.The negative result of microbial cultures was obtained after an average of 7.55 days by simultaneous application of negative pressure and antibiotic treatment according to the antibiogram. After basic treatment of the wound, auxiliary methods such as negative pressure contribute to the healing. Evolution was favorable with wound granulation in 95% cases, which allowed surgery under local anesthesia, and defect was covered with skin graft. VAC therapy falls into the last group of treatments by eliminating healing inhibitors. This regenerates the wound in a damp environment and essentially turns an open wound into a closed system.

Negative Pressure Therapy in the Surgical Treatment of Diabetic Foot

2017 ◽  
Vol 68 (7) ◽  
pp. 1648-1651
Author(s):  
Bogdan Mihnea Ciuntu ◽  
Ciprian Vasiluta ◽  
Robert Negru ◽  
Roxana Hultoana ◽  
Roxana Ciuntu ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Negative Pressure ◽  
Diabetic Foot ◽  
Bacterial Load ◽  
Abdominal Wall Defects ◽  
Negative Pressure Therapy ◽  
Simultaneous Application ◽  
Average Hospital ◽  
Pressure Therapy ◽  
Days Of Therapy

The study aims to assess the significance of negative pressure therapy in the treatment of diabetic foot.The objectives intend to evaluate the healing time required after applying the method and the functional consequences for the patient. A prospective study was conducted on a sample of 37 patients with diabetic foot were monitored their clinical course between September 2014 - April 2017, following negative pressure therapy. There were used vacuum assisted closure devices (VAC � -Hartman) in order to apply negative pressure to the wound, while complying with specified settings (negative pressure, time of use of a kit) in accordance with patients� outcome.There were monitored changes in wound size (planimetric and volumetric measurement), their bacterial load and duration of treatment. Healing was obtained in all cases, to an average hospital stay of 27.3 days and 8 days of therapy application.The negative result of microbial cultures was obtained after an average of 6.45 days by simultaneous application of negative pressure and antibiotic treatment according to the antibiogram. Skin grafts were necessary to close the defect in 4 cases. After basic treatment of the wound, auxiliary methods such as negative pressure contribute to the healing.In patients with diabetic foot who were required surgical intervention, the use of negative pressure therapy yielded a significant benefit in the preservation of the affected limb, after minimal excision.The results we obtained throughout our experience recommend use of NPTW technique as indication for abdominal wall surgery in closing abdominal wall defects, compartment syndrome and surgical site infection after prosthetic mesh.

scholarly journals Pressure transduction to the thoracic cavity during topical negative pressure therapy of a sternotomy wound

2008 ◽  
Vol 5 (4) ◽  
pp. 579-584 ◽  
Author(s):  
Christian Torbrand ◽  
Richard Ingemansson ◽  
Lotta Gustafsson ◽  
Per Paulsson ◽  
Malin Malmsjö
Keyword(s):  
Negative Pressure ◽  
Thoracic Cavity ◽  
Negative Pressure Therapy ◽  
Pressure Therapy ◽  
Topical Negative Pressure
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