Effectiveness of negative pressure wound therapy: Minimum five-year follow-up and review of the literature
Erzsébet Szabóné Révész1
, Áron Altorjay1, Valéria Montskó2, László Hangody3,4
1Department of Surgery, St Goerge’s Hospital, Székesfehérvár, Hungary
2St George’s Hospital, Septic, Székesfehérvár, Hungary
3Department of Orthopedics and Traumatology, Uzsoki Hospital, Budapest, Hungary
4Department of Traumatology, Semmelweis University, Budapest, Hungary
Keywords: Efficacy, negative pressure wound therapy, wound management.
Abstract
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.
Citation: Révész ES, Altorjay A, Montskó V, Hangody L. Effectiveness of negative pressure wound therapy: Minimum five-year follow-up and review of the literature. Jt Dis Relat Surg 2022;33(1):51-56.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.