With a great number of patients suffering from severe complications after surgical procedures NPWTseems to beavery promising andrelevant method toheal wounds- effectively.“Effective healing means that we create the tissue very similar to the tissue before the surgery”, expert Prof. MD PhD TomaszBanasiewiczhighlightsone ofthe keyeffects.Different types of devices can be used to this effect. The knowledge how to choose the right device has been sharedat the expert panel.
Treat wounds effectively
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Stationary multi-use
Features:
Traditional or stationary NPWT systems include a canister for fluid collection from the wound. The pressure applied is adjustable, with continuous and intermittent modes of operation possible. Moreover, traditional NPWT can be adapted and used with a wound cleanser.
Indications:
- Traumatic wounds and high-risk incisions after surgery
- Chronic wounds with delayed or impaired healing
- Dermatofasciotomy wound
- Management of infection after endoprosthesis or meshimplantatio
- Surgical site infections
- Osteomyelitis
Single use
Features:
Some sNPWT devices are canister-free and handle fluid mainly through evaporation from the outer layer of the dressing. Mainly suitable for low to moderate exudate levels. The pressure is applied continuously and is not usually adjustable.
Indications:
- Clean, closed postoperative incision at high risk of infection and/or wound dehiscence
- Chronic wounds with smaller area and limited exudation
- Skin grafts (depend on the size of grafts)
Closed incision NPWT
Closed incision NPWT is used on primary closure surgical sites to reduce risk of surgical site complications, such as infection, seroma, haematoma, local skin ischaemia and necrosis, dehiscence and delayed healing. Both traditional and sNPWT can be used as ciNPWT.
Traditional and single-use NPWT are complementary and can be used sequentially during the healing progress.
Some tips to help you use NPWT successfully
How to encourage patient uptake:
■ make therapy as simple as possible
How to relieve pain:
■ turn off suction 5–10 minutes before dressing change
■ use lidocaine irrigation before dressing change
■ use a medical adhesive remover and avoid pulling the foil too forcefully
■ use an intermittent layer between polyurethane sponge and the wound
How to maintain the dressing seal:
■ ensure surrounding skin of wound is dry
■ use smaller parts of adhesive foil in complicated body contours
■ use stoma paste as a sealant around the wound dressing.
■ In highly exudating wounds, apply dressing pad as fast as possible and turn on of pump.
How to make the therapy effective:
■ If there is no improvement after two wound dressings, consider whether a change in strategy is required
