J Korean Burn Soc.
2016 Jun;19(1):1-5. 10.0000/jkbs.2016.19.1.1.
Usefulness of Negative Pressure Wound Therapy (NPWT) in Burn Center
- Affiliations
-
- 1Department of Surgery, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Seoul, Korea.
- 2Department of Burn Surgery, Hallym University Hangang Sacred Heart Hospital, Seoul, Korea. chun0414@hallym.or.kr
- KMID: 2353402
- DOI: http://doi.org/10.0000/jkbs.2016.19.1.1
Abstract
- PURPOSE
Negative pressure wound therapy (NPWT) is an adjunct therapy using negative pressure to remove fluid from open wounds through a sealed dressing and a specialized tubing that is connected to a collection container. NPWT is suitable for acute and chronic wound condition because it was designed to accelerate granulation formation on deep wound. Therefore, we performed this study to assess the effectiveness of NPWT for various wound condition in burn center.
METHODS
We enrolled 17 patients who were treated with NPWT from January 2014 to April 2016. We analyzed the characteristics and outcomes of the patients through retrospectively.
RESULTS
Among 17 patients, there were 13 patients for contact burn, 2 patients for electrical injury, 1 patient for diabetic foot ulcer and 1 patient for Flame burn. Most of the contact burn victims were injured by the exposure of relatively low temperature for a long time and some of them were injured under the condition of sensory deterioration including spinal cord injury, diabetes or sedatives. Wound coverage was accomplished by split thickness skin graft (STSG) in 12 patients. Local flap was done in 1 patient. STSG with local flap was done in 3 patients. And there were 1 patient who got a conservative management. The duration of NPWT application was from 8 days to 101 days (average 36.2 days).
CONCLUSION
NPWT showed good clinical outcomes under various wound condition. Therefore, we think that it can be a new treatment paradigm for difficult wound management in burn center.
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