The Combination of a Hypertonic Saline Dressing and Negative Pressure Wound Therapy for Quick and Bloodless Debridement of Difficult Lesions in Complicated Patients

  • Marco Fraccalvieri Department of Reconstructive and Aesthetic Plastic Surgery, Citta della Salute e della Scienza Hospital, University of Turin, Italy.
  • Erind Ruka Department of Reconstructive and Aesthetic Plastic Surgery, Citta della Salute e della Scienza Hospital, University of Turin, Italy.
  • Umberto Morozzo Department of Reconstructive and Aesthetic Plastic Surgery, Citta della Salute e della Scienza Hospital, University of Turin, Italy.
  • Alessandro Scalise Department of Plastic and Reconstructive Surgery, Regional Hospital, Marche Polytechnic University Medical School, Ancona, Italy
  • Marco Salomone Department of Reconstructive and Aesthetic Plastic Surgery, Citta della Salute e della Scienza Hospital, University of Turin, Italy.
DOI: https://doi.org/10.18487/npwtj.v2i2.14

Abstract

NPWT, also known as topical negative-pressure wound therapy, is widely used in managing and accelerating wound healing. However in wounds were slough is highly represented NPWT efficiency is low. In the patients included in this study clinical health conditions were precarious. We needed a rapid wound healing to not further compromise their health condition. So we added curity dressing to resolve the slough issue. In all the patients we observed slough reduction. This treatment provided beneficial for the patient, the surgeons and the National Health Service. Accelerating wound healing reduced hospitalization and thereby the patients achieved a reduction of risks of nosocomial infections and physical and psychological diseases.

References

Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg. 1997;38:563–577.

Vuerstaek JD, Vainas T, Wuite J, Nelemans P, Neumann. MH, Veraart JC. State-of-the-art treatment of chronic leg ulcers: a randomized controlled trial comparing vacuum-assisted closure (V.A.C.) with modern wound dressings. J Vasc Surg 2006; 44: 1029–37; discussion 1038.

Campbell, Penny E; Smith, Gary S; Smith, Jennifer M. Retrospective clinical evaluation of gauze-based negative pressure wound therapy. International Wound Journal. 2008; 5 (2): 280-6.

Falanga V. Classifications for wound bed preparation and stimulation of chronic wounds. Wound Repair Regen. 2000 Sep-Oct;8(5):347-52.

Tong A. The identification and treatment of slough. J Wound Care. 1999 Jul;8(7):338-9.

Black, J., Baharestani, M., Black, S., Cavazos, J., Conner-Kerr, T., Edsberg, L., Peirce, B., Rivera, E. & Schultz, G. (2010). An overview of tissue types in pressure ulcers: A concensus panel recommendation, 56(4), page 28-44. http://www.o-wm.com/content/an-overview-tissue-types-pressure-ulcers-a-consensus-panel-recommendation

Anna F. Falabella: Debridement and wound bed preparation. Dermatologic Therapy, Vol. 19, 2006, 317–325.

Fraccalvieri M1, Serra R, Ruka E, Zingarelli E, Antoniotti U, Robbiano F, Viglione M, Frisicale L, Bruschi S: Surgical debridement with VERSAJET: an analysis of bacteria load of the wound bed pre- and post-treatment and skin graft taken. A preliminary pilot study. Int Wound J. 2011 Apr;8(2):155-61. doi: 10.1111/j.1742 481X.2010.00762.x. Epub 2011 Jan 25.

Fraccalvieri M, Zingarelli E, Ruka E, Antoniotti U, Coda R, Sarno A, Bocchiotti MA, Bruschi S. Negative pressure wound therapy using gauze and foam: histological, immunohistochemical and ultrasonography morphological analysis of the granulation tissue and scar tissue. Preliminary report of a clinical study. Int Wound J. 2011 Aug;8(4):355-64. doi: 10.1111/j.1742-481X.2011.00798.x. Epub 2011 May 12.

Marco Fraccalvieri, Alessandro Scalise, Erind Ruka, Enrico Zingarelli, Marco Salomone, Renato Coda, Antonino Sarno, Battistino Paggi, et al. Negative pressure wound therapy using gauze and foam: histological, immunohistochemical, and ultrasonography morphological analysis of granulation and scar tissue. Eur J Plast Surg (2014) 37:411-416 DOI 10.1007/s00238-014-0964-2

Fraccalvieri M, Pristerà G, Zingarelli E, Ruka E, Bruschi S. Treatment of chronic heel osteomyelitis in vasculopathic patients. Can the combined use of Integra® , skin graft and negative pressure wound therapy be considered a valid therapeutic approach after partial tangential calcanectomy? Int Wound J. 2012 Apr;9(2):214-20. doi: 10.1111/j.1742-481X.2011.00878.x. Epub 2011 Nov 4.

Fraccalvieri M, Ruka E, Bocchiotti MA, Zingarelli E, Bruschi S. Patient's pain feedback using negative pressure wound therapy with foam and gauze. Int Wound J. 2011 Oct;8(5):492-9. doi: 10.1111/j.1742-481X.2011.00821.x. Epub 2011 Aug 9.

Published
2015-10-20
How to Cite
Fraccalvieri, M., Ruka, E., Morozzo, U., Scalise, A., & Salomone, M. (2015). The Combination of a Hypertonic Saline Dressing and Negative Pressure Wound Therapy for Quick and Bloodless Debridement of Difficult Lesions in Complicated Patients. Negative Pressure Wound Therapy Journal, 2(2). https://doi.org/10.18487/npwtj.v2i2.14
Issue
Vol. 2 No. 2 (2015)
Section
Original Articles

Copyright (c) 2015 Marco Fraccalvieri, Erind Ruka, Umberto Morozzo, Alessandro Scalise, Marco Salomone

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

 Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

We require authors to sign a Publication Agreement prior to publication of the manuscript in NPWTJ. The link to this form may be found below. 
PUBLICATION AGREEMENT FORM