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Effectiveness of negative pressure wound therapy: Minimum five-year follow-up and review of the literature

OBJECTIVES: In this study, we aimed to assess the effectiveness of negative pressure wound therapy (NPWT) in a five-year patient cohort and to discuss the results in the light of literature data. PATIENTS AND METHODS: Between January 2012 and December 2016, a total of 74 patients (35 males, 39 femal...

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Autores principales: Révész, Erzsébet Szabóné, Altorjay, Áron, Montskó, Valéria, Hangody, László
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bayçınar Medical Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9057544/
https://www.ncbi.nlm.nih.gov/pubmed/35361080
http://dx.doi.org/10.52312/jdrs.2022.547
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author Révész, Erzsébet Szabóné
Altorjay, Áron
Montskó, Valéria
Hangody, László
author_facet Révész, Erzsébet Szabóné
Altorjay, Áron
Montskó, Valéria
Hangody, László
author_sort Révész, Erzsébet Szabóné
collection PubMed
description OBJECTIVES: In this study, we aimed to assess the effectiveness of negative pressure wound therapy (NPWT) in a five-year patient cohort and to discuss the results in the light of literature data. PATIENTS AND METHODS: Between January 2012 and December 2016, a total of 74 patients (35 males, 39 females; median age: 60 years; range, 20 to 95 years) who received NPWT were retrospectively analyzed. The patients included 49 orthopedic and traumatology, 12 vascular surgery, and 13 general surgery patients. The efficacy of wound healing, bacterial load, and the impact of comorbidities on wound healing were examined. RESULTS: The distribution of wound types varied very widely. Certain comorbidities affected wound healing. In orthopedictraumatology patients, we observed mainly skin flora infection (57.14%), while in surgical and vascular patients, mixed flora (80%) and in many cases poly-resistant pathogens were present (methicillin-resistant Staphylococcus aureus 24%) A total of 43.3% of wounds were completely closed, while 44.6% of patients had a wound healing. Successful skin grafting was performed in 75% of wounds. CONCLUSION: This technique may be used as widely and as early as possible. However, further large-scale, multi-center, randomized clinical trials are needed worldwide to find a place for this technique in wound care and even in primary care.
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spelling pubmed-90575442022-05-04 Effectiveness of negative pressure wound therapy: Minimum five-year follow-up and review of the literature Révész, Erzsébet Szabóné Altorjay, Áron Montskó, Valéria Hangody, László Jt Dis Relat Surg Original Article OBJECTIVES: In this study, we aimed to assess the effectiveness of negative pressure wound therapy (NPWT) in a five-year patient cohort and to discuss the results in the light of literature data. PATIENTS AND METHODS: Between January 2012 and December 2016, a total of 74 patients (35 males, 39 females; median age: 60 years; range, 20 to 95 years) who received NPWT were retrospectively analyzed. The patients included 49 orthopedic and traumatology, 12 vascular surgery, and 13 general surgery patients. The efficacy of wound healing, bacterial load, and the impact of comorbidities on wound healing were examined. RESULTS: The distribution of wound types varied very widely. Certain comorbidities affected wound healing. In orthopedictraumatology patients, we observed mainly skin flora infection (57.14%), while in surgical and vascular patients, mixed flora (80%) and in many cases poly-resistant pathogens were present (methicillin-resistant Staphylococcus aureus 24%) A total of 43.3% of wounds were completely closed, while 44.6% of patients had a wound healing. Successful skin grafting was performed in 75% of wounds. CONCLUSION: This technique may be used as widely and as early as possible. However, further large-scale, multi-center, randomized clinical trials are needed worldwide to find a place for this technique in wound care and even in primary care. Bayçınar Medical Publishing 2022-03-28 /pmc/articles/PMC9057544/ /pubmed/35361080 http://dx.doi.org/10.52312/jdrs.2022.547 Text en Copyright © 2021, Turkish Joint Diseases Foundation https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Article
Révész, Erzsébet Szabóné
Altorjay, Áron
Montskó, Valéria
Hangody, László
Effectiveness of negative pressure wound therapy: Minimum five-year follow-up and review of the literature
title Effectiveness of negative pressure wound therapy: Minimum five-year follow-up and review of the literature
title_full Effectiveness of negative pressure wound therapy: Minimum five-year follow-up and review of the literature
title_fullStr Effectiveness of negative pressure wound therapy: Minimum five-year follow-up and review of the literature
title_full_unstemmed Effectiveness of negative pressure wound therapy: Minimum five-year follow-up and review of the literature
title_short Effectiveness of negative pressure wound therapy: Minimum five-year follow-up and review of the literature
title_sort effectiveness of negative pressure wound therapy: minimum five-year follow-up and review of the literature
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9057544/
https://www.ncbi.nlm.nih.gov/pubmed/35361080
http://dx.doi.org/10.52312/jdrs.2022.547
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