Usefulness of Negative Pressure Wound Therapy (NPWT) in Burn Center.
- Author:
Sung Bak AN
1
;
Young Min KIM
;
Jae Chul YOON
;
Hyeong Tae YANG
;
Hae Jun YIM
;
Yong Suk CHO
;
Dohern KIM
;
Jun HUR
;
Wook CHUN
Author Information
1. Department of Surgery, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Negative-pressure wound therapy;
Burn;
Wound healing
- MeSH:
Bandages;
Burn Units*;
Burns*;
Diabetic Foot;
Humans;
Hypnotics and Sedatives;
Negative-Pressure Wound Therapy*;
Retrospective Studies;
Skin;
Spinal Cord Injuries;
Transplants;
Ulcer;
Wound Healing;
Wounds and Injuries
- From:Journal of Korean Burn Society
2016;19(1):1-5
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Negative pressure wound therapy (NPWT) is an adjunct therapy using negative pressure to remove fluid from open wounds through a sealed dressing and a specialized tubing that is connected to a collection container. NPWT is suitable for acute and chronic wound condition because it was designed to accelerate granulation formation on deep wound. Therefore, we performed this study to assess the effectiveness of NPWT for various wound condition in burn center. METHODS: We enrolled 17 patients who were treated with NPWT from January 2014 to April 2016. We analyzed the characteristics and outcomes of the patients through retrospectively. RESULTS: Among 17 patients, there were 13 patients for contact burn, 2 patients for electrical injury, 1 patient for diabetic foot ulcer and 1 patient for Flame burn. Most of the contact burn victims were injured by the exposure of relatively low temperature for a long time and some of them were injured under the condition of sensory deterioration including spinal cord injury, diabetes or sedatives. Wound coverage was accomplished by split thickness skin graft (STSG) in 12 patients. Local flap was done in 1 patient. STSG with local flap was done in 3 patients. And there were 1 patient who got a conservative management. The duration of NPWT application was from 8 days to 101 days (average 36.2 days). CONCLUSION: NPWT showed good clinical outcomes under various wound condition. Therefore, we think that it can be a new treatment paradigm for difficult wound management in burn center.
