—— ?About NPWT ?——

—— ?About NPWT ?——

副標題

    ——《EWMA DOCUMENT: NEGATIVE PRESSURE WOUND THERAPY  OVERVIEW, CHALLENGES AND PERSPECTIVES》2017.European Wound Management Association(EWMA)。
1 Bobkiewicz, A., Banasiewicz, T., Ledwosinski, W., Drews, M. Medical terminology associated with Negative Pressure Wound Therapy (NPWT). Understanding and misunderstanding in the field of NPWT. Negative Pressure Wound Therapy. 2014; 1: 2, 69–73.
2 Hampton, J. Providing cost-effective treatment of hard-to-heal wounds in the community through use of NPWT. Br J Community Nurs 2015; 20: Suppl 6, S14–S20.
3 Apelqvist, J., Armstrong, D.G., Lavery, L.A., Boulton, A.J. Resource utilization and economic costs of care based on a randomized trial of vacuum-assisted closure therapy in the treatment of diabetic foot wounds. Am J Surg 2008; 195: 6, 782–788.
4 Acosta, S., Bjarnason, T., Petersson, U. et al. Multicentre prospective study of fascial closure rate after open abdomen with vacuum and mesh-mediated fascial traction.
Br J Surg 2011; 98: 5, 735–743. 5 Kaplan, M. Negative pressure wound therapy in the management of abdominal compartment syndrome. Ostomy Wound Manage 2005; 51: 2A Suppl, 29S–35S. 6 Swan, M., Banwell, P. Topical negative pressure. Advanced management of the open abdomen. Oxford Wound Healing Society. 2003. 7 Fuchs, U., Zittermann, A., Stuettgen, B. et al. Clinical outcome of patients with deep sternal wound infection managed by vacuum-assisted closure compared to conventional therapy with open packing: a retrospective analysis. Ann Thorac Surg 2005; 79: 2, 526–531. 8 Fleck,T., Gustafsson, R., Harding, K. et al. The management of deep sternal wound infections using vacuum assisted closure? (V.A.C.?) therapy. Int Wound J 2006; 3: 4, 273–280. 9 Armstrong, D.G., Lavery, L.A., Diabetic Foot Study Consortium. Negative pressure wound therapy after partial diabetic foot amputation: a multicentre, randomised controlled trial. Lancet 2005; 366: 9498, 1704–1710. 10 Blume, P.A., Walters, J., Payne, W. et al. Comparison of negative pressure wound therapy using vacuum-assisted closure with advanced moist wound therapy in the treatment of diabetic foot ulcers: a multicenter randomized controlled trial. Diabetes Care 2008; 31:4, 631–636. 11 Trueman, P. Cost-effectiveness considerations for home health V.A.C. Therapy in the United States of America and its potential international application. Int Wound J. 2008; 5: Suppl 2, 23–26.

      Since its introduction in clinical practice in the early 1990’s negative pressure wounds therapy (NPWT) has become widely used in the management of complex wounds in both inpatient and outpatient  care.1 NPWT has beendescribed as a effective treatment for wounds of many different aetiologies2,3 and suggested as a gold standard for treatment of wounds such as open abdominal wounds,4–6 dehisced sternal wounds following cardiac surgery7,8 and as a valuable agent in complex non-healing wounds.9,10 Increasingly, NPWT is being applied in the primary and home-care setting, where it is described as having the potential to improve the efficacy of wound management and help reduce the reliance on hospital-based care.11
…… NPWT is a mode of therapy used to encourage wound healing. It is used as a primary treatment of chronic wounds, in complex acute wounds and as an adjunct for temporary closure and wound bed preparation preceding surgical procedures such as skin grafts and flap surgery.
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