https://npwtj.com/index.php/npwtj/issue/feed Negative Pressure Wound Therapy Journal 2020-01-25T02:25:37+01:00 Wojciech Francuzik npwtj@medigent.org Open Journal Systems <p>Diamond Open Access, peer-reviewed academic journal focused on the use of vacuum therapy.&nbsp;</p> <p>&nbsp;</p> https://npwtj.com/index.php/npwtj/article/view/54 The The role of Negative Pressure Wound Therapy in the management of orocutaneous fistulas in cancer patients - a case series 2020-01-25T02:25:37+01:00 Iwona Niedzielska niedzielska.konsultant@wp.pl Katarzyna Ściskała kasia.sciskala@gmail.com Michał Bąk mmwbak@gmail.com Damian Niedzielski niedzielskidamian@gmail.com <p>Background: Negative Pressure Wound Therapy (NPWT) is used in the treatment of various wounds. The study demonstrates a novel use of vessel patch as a sealant of mucosal orifice fistulas.</p> <p><br>Methods: The study included ten patients with orocutaneous fistulas in the course of treatment of oral malignancies. Patients were divided into treatment (NPWT) and control (conventional dressings) group. In four cases, the vessel patch was applied. We used the Hartmann Vivano system with 50 mmHg to 130 mmHg negative pressure values.</p> <p><br>Results: The median age of patients was 61.5 years (range: 31 -- 73 years). The median treatment time was 83 days (range: 14 -- 272 days). The median total treatment cost was 5.300 EUR (range: 2490 -- 7821 EUR) in the NPWT group and 12.000 EUR (range: 3.060 -- 22.745 EUR) in the control group.</p> <p><br>Conclusion: The use of NPWT is a cost-effective and reasonable method for the management of orocutaneous fistulas and other complications in maxillofacial surgery.</p> 2019-12-28T00:00:00+01:00 ##submission.copyrightStatement## https://npwtj.com/index.php/npwtj/article/view/53 Negative Pressure Wound Therapy (NPWT) in Breast Surgery 2020-01-25T02:25:37+01:00 Abdalla SAAD ABDALLA AL-ZAWI abdalasaad@gmail.com Vanessa SALIH v.salih@nhs.net Amira Asaad asaadamira89@gmail.com Rebecca Harsten rebeccaharsten@gmail.com Momen Abdou Alkhir momen66@yahoo.com Hamad BenRafe dochammedostaali@gmail.com Tomasz Banasiewicz tbanasiewicz@op.pl <p>Background: The use of Negative Pressure Wound Dressing has been found to promote the wound healing process, therefore, reducing the risk of surgical site complications. The use of this technique amongst breast cancer patients, who have often encountered a distressing journey, may prove beneficial in making the post-operative process less eventful. Many of these patients have a limited time window to start adjuvant treatment. The use of a negative pressure device is recommended in both prophylactic and therapeutic scenarios. NPWT may also be used in patients who have undergone cosmetic breast surgery. We have evaluated the use of NPWT in breast surgery with an updated and systematic review of the available literature.</p> <p><br>Methods: The authors systematically searched the PubMed, Science Direct, and Wiley Online databases using the phrases “Negative Pressure Wound Therapy in Breast surgery” and “Vacuum-Assisted Closure in Breast Wound” and all publications, including relevant data were considered eligible for inclusion in the review.</p> <p><br>Results: We have found reports of 7 studies, 3 retrospective, 2 prospective, one randomized trial, and one case series. The complication rate in the NPWT group versus conventional dressing group has been reported in 5 papers. A statistically significant effect in favor of NPWT was documented in three trials.</p> <p><br>Conclusion: The current evidence supports the notion that NPWT systems are beneficial in enhancing the healing of complicated breast wounds. However, larger studies exploring the effectiveness of this technique would be of interest to breast surgeons.</p> 2019-12-28T00:00:00+01:00 ##submission.copyrightStatement##