Authors :
Dr. Saurabh Garg; Dr. Aditya; Dr. Vimalendu Brajesh; Dr. Rakesh Kumar Khazanchi
Volume/Issue :
Volume 8 - 2023, Issue 6 - June
Google Scholar :
https://bit.ly/3TmGbDi
Scribd :
https://tinyurl.com/yx29bby8
DOI :
https://doi.org/10.5281/zenodo.8163533
Abstract :
Background:
Management of wounds is one of the most crucial
aspects of surgical care. Wound management has come a
long way in last 2-3 decades. During this period, Negative
Pressure Wound Therapy (NPWT) has emerged as a
boon for the surgeons. However, the management of
infected and chronic wounds stills remains a challenge to
the surgeons throughout the globe. To tackle these
wounds, modifications were made in regular NPWT by
adding intermittent automated instillation of topical
wound irrigation solutions. This therapy is known as
Negative Pressure Wound Therapy with Instillation
(NPWTi). This method provided an additional dimension
by reducing bioburden and biofilms present in these
wounds, that may impair the processes of proper wound
healing.
Methods:
A prospective analysis of 45 patients with infected
and/or chronic wounds between December 2018 to June
2020 were included in this study. After surgical
debridement, all patient were managed with NPWTi.
Normal saline was used as instillation fluid in all cases
with dwell time of 10mins, followed by 3 hours of NPWT
at -125mmhg pressure. Data collection includes patient
demographics, wound characteristic, number of
debridements, number of dressing change, wound area
reduction, time to wound closure, method of wound
closure, complications and hospital stay.Mean time for wound closure was 11.05 day.
Average hospital stay for patients with infected/chronic
wounds managed with NPWTi was 11.5 days Only 1
patient had wound related complication in post op period
and none of them had dehiscence or wound recurrence in
3 month post op period.
Conclusion:
NPWTi with normal saline instillation has improved
the management of infected and/or chronic wounds and
has become the standard of care at our facility.
Keywords :
Infected Wounds, Chronic Wounds, NPWTi.
Background:
Management of wounds is one of the most crucial
aspects of surgical care. Wound management has come a
long way in last 2-3 decades. During this period, Negative
Pressure Wound Therapy (NPWT) has emerged as a
boon for the surgeons. However, the management of
infected and chronic wounds stills remains a challenge to
the surgeons throughout the globe. To tackle these
wounds, modifications were made in regular NPWT by
adding intermittent automated instillation of topical
wound irrigation solutions. This therapy is known as
Negative Pressure Wound Therapy with Instillation
(NPWTi). This method provided an additional dimension
by reducing bioburden and biofilms present in these
wounds, that may impair the processes of proper wound
healing.
Methods:
A prospective analysis of 45 patients with infected
and/or chronic wounds between December 2018 to June
2020 were included in this study. After surgical
debridement, all patient were managed with NPWTi.
Normal saline was used as instillation fluid in all cases
with dwell time of 10mins, followed by 3 hours of NPWT
at -125mmhg pressure. Data collection includes patient
demographics, wound characteristic, number of
debridements, number of dressing change, wound area
reduction, time to wound closure, method of wound
closure, complications and hospital stay.Mean time for wound closure was 11.05 day.
Average hospital stay for patients with infected/chronic
wounds managed with NPWTi was 11.5 days Only 1
patient had wound related complication in post op period
and none of them had dehiscence or wound recurrence in
3 month post op period.
Conclusion:
NPWTi with normal saline instillation has improved
the management of infected and/or chronic wounds and
has become the standard of care at our facility.
Keywords :
Infected Wounds, Chronic Wounds, NPWTi.
