Negative Pressure Wound Therapy with Instillation in a Chronic Non-Healing Right Hip Trochanteric Pressure Ulcer
| Autor: | Brian J. Nguyen, Kevin Broder, Richard Bodor |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
flap reconstruction medicine.medical_treatment Pressure sores negative pressure wound therapy with instillation Healthcare Technology Dehiscence 030207 dermatology & venereal diseases 03 medical and health sciences Wound care pressure ulcers 0302 clinical medicine Negative-pressure wound therapy plastic surgery medicine 030212 general & internal medicine npwt with instillation integumentary system business.industry General Engineering npwt Surgery Plastic surgery Anesthesia technology npwti-d Clinical case pressure sores Stage iv business Tensor fascia lata flap wound care |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Complex pressure ulcer wound sites often present with a wide scope of barriers to healing ranging from high colonization of multi-drug-resistant pathogens to tortuous internal anatomy which make the wound recalcitrant to traditional wound care including standard negative pressure wound therapy (NPWT). Negative pressure wound therapy with instillation (NPWTi-d) provides an opportunity to manage and heal wounds with indications not met by standard NPWT such as cavitating wounds with complex undermining and tunneling. In this clinical case report, a patient who presented with a chronic, non-healing Stage IV pressure ulcer underwent a tensor fascia lata flap reconstruction that was complicated by a partial flap-tip nonadherence with associated partial dehiscence of the flap incision that proved unresolvable until application of adjunctive NPWTi-d which allowed the wound to experience a robust rate of granulation, contraction, and closure. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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