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Prospective Assessment of the Negative Pressure Wound Therapy of the Open Abdomen

100%

Hutan M., Bartko C., Prochotsky A., Sekac J., Skultety J., Kutarna J., Loncsar G.

Negative Pressure Wound Therapy Journal

2016

vol. 3

issue 2

Open abdomen (OA) is a surgical approach, that emerged in last 15 years, with its management being complicated, timely and financially demanding, burdened with high morbidity and mortality. In recent years, several publications proved superiority of usage of negative pressure wound therapy (NPWT) over usage of conventional temporary abdominal closure techniques in treatment of open abdomen. Different aspects of treatment of OA with NPWT remain to be assessed and stated.Authors of the paper prospectively assessed group of 48 patients with OA, managed by one surgeon with NPWT between 2006-2014, assessing mortality and morbidity in the group stratified by indication for OA, type of sequential closure of OA, presence and management of concomitant enteroatmospheric fistula (EAF), maximal values of C-reactive protein (CRP) and Procalcitonine (PCT), and initial body mass index (BMI). Mortality of the whole group was 35.41%, rate of fascial closure 45.83% and rate of the wound closure 83.33%. Incidence of the fistula was 37.5%, of these 66.67% were successfully locally managed. Incidence of fascial closure without use of sequential closure was significantly lower as opposed to use of different techniques of sequential closure.Unsuccessful local management of EAF is significant predictor of mortality. All other data were not found to be statistically significant. Identifying specific aspects of treatment of OA by NPWT, significantly improving outcomes, and adhering to these aspects in clinical practice will further ameliorate outcomes.

Prevention and therapy of acute and chronic wounds using NPWT devices during the COVID-19 pandemic, recommendation from The NPWT Working Group

68%

Banasiewicz T., Becker R., Bobkiewicz A., Fraccalvieri M., Francuzik W., Hutan M., Laukoetter M., Malka M., Mańkowski B., Szentkereszty Z., Toth C., Veverkov L., Karlakki S., Murphy J., Maciej Z.

Negative Pressure Wound Therapy Journal

2020

vol. 7

issue 2

4-9

Recent SARS-CoV-2 pandemic leading to a rapidly increasing number of hospitalizations enforced reevaluation of wound management strategies. The optimal treatment strategy for patients with chronic wounds and those recovering from emergency and urgent oncological surgery should aim to minimize the number of hospital admissions, as well as the number of surgical procedures and decrease the length of stay to disburden the hospital staff and to minimize viral infection risk. One of the potential solutions that could help to achieve these goals may be the extensive and early use of NPWT devices in the prevention of wound healing complications. Single-use NPWT devices are helpful in outpatient wound treatment and SSI prevention (ciNPWT) allowing to minimize in-person visits to the health care center while still providing the best possible wound-care. Stationary NPWT should be used in deep SSI and perioperative wound healing disorders as soon as possible. Patient’s education and telemedical support with visual wound healing monitoring and video conversations have the potential to minimize the number of unnecessary in-person visits in patients with wounds and therefore substantially increase the level of care.

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2 Negative Pressure Wound Therapy Journal

1 2020

1 2016

2 Hutan M.

1 Banasiewicz T.

1 Bartko C.

1 Becker R.

1 Bobkiewicz A.

1 Fraccalvieri M.

1 Francuzik W.

1 Karlakki S.

1 Kutarna J.

1 Laukoetter M.

1 Loncsar G.

1 Maciej Z.

1 Malka M.

1 Mańkowski B.

1 Murphy J.

1 Prochotsky A.

1 Sekac J.

1 Skultety J.

1 Szentkereszty Z.

1 Toth C.

1 Veverkov L.

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Prospective Assessment of the Negative Pressure Wound Therapy of the Open Abdomen

Prevention and therapy of acute and chronic wounds using NPWT devices during the COVID-19 pandemic, recommendation from The NPWT Working Group