September 2018

Negative Pressure Wound Therapy Creates Positive Clinical Outcomes in an Outpatient Setting

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By Nicole Wetsman

A new, disposable negative pressure wound therapy (NPWT) system effectively reduced the volume of varied wound types on four patients in an outpatient setting, reported Windy Cole, podiatrist at University Hospitals Ahuja Medical center, in a poster entitled, Management of Small, Lower Extremity Wounds in the Ambulatory Setting Using a Disposable, Mechanically Powered Negative Pressure Wound Therapy System.5

Cole utilized new technology in this study: a small, quiet, disposable system (dNPWT) designed for outpatient use. Four patients with lower extremity wounds were treated with the system — two with trauma wounds, one with a diabetic foot ulcer, and one with a diabetic toe amputation wound. Treatment lasted between 2 and 14 weeks with a -125 mmHg pressure cartridge.

The wounds improved significantly in response to treatment with dNPWT, and all wounds were eventually closed.

Although clinical evidence showing that NPWT is more effective than other strategies for treating wounds of a similar type is not yet available, this study provides additional case reports of successful wound healing.

“The use of dNPWT resulted in positive clinical outcomes and was convenient as an adjunctive therapy in managing small, lower extremity wounds in the ambulatory setting,” Cole wrote.

 

Posters presented at American Podiatric Medical Association 2018 Annual Meeting

  1. Alalwee, A, Spergel, G, Santi, L et al. The Outcomes of Local Flushing of Insulin on Wound Healing in Patients with Diabetic Foot Ulcers.
  2. Moisan, G, Descarreaux, M, Cantin, V, et al. Effects of Two Types of Foot Orthoses on the Biomechanics of Participants with Cavus Feet During Walking.
  3. Schick, F, Taweel, N. A Non-surgical Approach to Arteriovenous Malformation of the Foot.
  4. Brock, K, Walters, J. Is the Operating Room Always Necessary? Office Based Toe Amputations for Osteomyelitis.
  5. Cole, W. Management of Small, Lower Extremity Wounds in the Ambulatory Setting Using a Disposable, Mechanically Powered Negative Pressure Wound Therapy System.
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