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Tytuł:
Endoluminal Negative Pressure Wound Therapy (E-NPWT) for anastomotic leakage after rectal resection
Autorzy:
Friedrich, Runkel, Norbert Severin
Mechthilde, Birk,
Powiązania:
https://bibliotekanauki.pl/articles/776412.pdf
Data publikacji:
2014
Wydawca:
Fundacja Medigent
Opis:
Background Local management of anastomotic leakage after rectal cancer resection has traditionally consisted of rinsing and drainage. Transanal endoluminal application of NPWT (E-NPWT or endo-VAC or endo-sponge) is an interesting novel concept that has been explored in a few studies and case series over the last decade. We report herein our institutional experience over a three year period during which E-NPWT was the local treatment of choice for all cases with anastomotic leakage after rectal resection.Patients and MethodsThis study retrospectively evaluated the clinical charts of 147 consecutive patients who underwent anterior rectal resection from 2011-2013. A postoperative anastomotic leak occurred in eight (5%) patients from two straight anastomoses, one side-to-end construction, and five colonic pouches. All patients had undergone curative anterior resection with diverting ostomy. Transanal debridement and application of a trimmed foam were performed by rigid or fexibel endoscopy and started without delay after confirmation of diagnosis in seven patients 8-15 days postoperatively. In one patient E-NPWT began after failed fibrin-glue treatment 6 weeks later. The foams were connected to a standard vacuum pump with the pressure set at -70mmHg in a continuous mode. E-NPWT was maintained for a median period of 10 (5-25) days. The treatment intervals were typically 2-3 days.ResultsComplete healing was achieved in three cases during E-NPWT. In the remaining five patients, the defect reduced in size to allow further spontaneous healing. This occurred twice. One persistent sinus was successfully sealed with fibrin glue. One persisting recto-vaginal fistula required surgical closure. One large defect secondary to ischemic pouch necrosis required secondary pouch explantation and permanent colostomy. The overall ileostomy reversal rate was 75%.ConclusionE-NPWT is feasible and without severe side effects. Early initiation prevents septic progression and results in a high closure rate in patients with pelvic leakage. Although complete healing is not achieved in recto-vaginal fistulas or ischemic necrosis of the neorectum, E-NPWT may play a potential role in bridging and damage control.
Źródło:
Negative Pressure Wound Therapy Journal; 2014, 1, 1
2392-0297
Pojawia się w:
Negative Pressure Wound Therapy Journal
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Endoluminal negative pressure wound treatment of anastomotic leakage in rectal surgery patients – critical review of the literature.
Autorzy:
Edward, Huľo,
Powiązania:
https://bibliotekanauki.pl/articles/776418.pdf
Data publikacji:
2015
Wydawca:
Fundacja Medigent
Opis:
During past 20 years the use of negative pressure wound therapy (NPWT) has shown it effectivity and efficiency in treatment of different indications. These indications include treatment of septic complications of open surgery (open abdomen, enteroatmospheric fistulas, wound dehiscence including sternotomy infections, staged abdominal wall repair, diabetic foot syndrome, and salvage of infected prosthetic material) or their prevention (prevention of complications in skin graft application and prevention of prosthetic graft infection). Such use consists of either external use directly in the wound, or intracorporal applications (intraabdominal NPWT, intrathoracal NPWT). New approaches and ways of application are evolving. One of new therapeutic methods are endoluminal use in both upper and lower gastrointestinal tract. Authors performed and present thorough review of the literature on use of endoluminal NPWT in anastomotic leakage in rectal surgery patients. Authors conclude, that endo NPWT is becoming a new and effective therapeutic method in treatment of septic complications of patients after rectal surgery.
Źródło:
Negative Pressure Wound Therapy Journal; 2015, 2, 1
2392-0297
Pojawia się w:
Negative Pressure Wound Therapy Journal
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Negative Pressure Wound Therapy: Reimbursement situation of this medical device 15 years after entering the European Market
Autorzy:
Joerg, Linder,
Powiązania:
https://bibliotekanauki.pl/articles/776366.pdf
Data publikacji:
2016
Wydawca:
Fundacja Medigent
Opis:
Getting adequate reimbursement for new and innovative medical devices is crucial for a successful uptake of the product in the market. However in the last years payers and authorities pushed for more detailed evaluations of the actual benefits of new medical devices before granting reimbursement. These assessment are often based on established Health-Technology-Assessments methods developed for pharmaceuticals. But as medical devices and pharmaceuticals differ in many ways these processes often do not work as smoothly as hoped and necessary. The history and current reimbursement situation of Negative-Pressure-Wound-Therapy (NPWT) is an example for these issues. Despite being on the market for over fifteen years in Europe and backed up by clinical and economic studies only Germany, Switzerland, Netherland, Sweden and Slovakia do have a dedicated reimbursement for NPWT in the inpatient sector. In the outpatient sector the reimbursement situation is even bleaker as only Switzerland and Austria have a fully functioning reimbursement in place. In Germany reimbursement decision are taken on a case-by-case base while in England only the dressings are reimbursed but not the equipment itself. In France only usage in the home hospitalisation sector is reimbursed. This situation cannot be satisfying for patients, physicians, payers and manufacturers. In order to improve the uptake of new medical devices manufacturer need to focus earlier on creating solid clinical evidence while payers also have to adapt their health-technology-assessments and take the differences of medical devices compared to pharmaceuticals into account.
Źródło:
Negative Pressure Wound Therapy Journal; 2016, 3, 1
2392-0297
Pojawia się w:
Negative Pressure Wound Therapy Journal
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The role of negative pressure wound therapy in the treatment of pilonidal disease
Autorzy:
Jan, Chmielecki,
Josephine, Ferenc,
Tomasz, Banasiewicz,
Powiązania:
https://bibliotekanauki.pl/articles/776438.pdf
Data publikacji:
2019
Wydawca:
Fundacja Medigent
Opis:
Pilonidal disease is a particularly difficult disorderto treat. Guidelines and recommendations for the treatment ofpilonidal disease neglect the use of negative pressure woundtherapy (NPWT), but studies strongly support the role of NPWTin preventing surgical site infection in high-risk patients.During a webinar on the pilonidal disease, we asked 51participants to complete a questionnaire about the treatmentof pilonidal disease. They answered questions about treatmentpractices for patients with a pilonidal disease, and the use ofNPWT.The study showed that a relatively large number of surgeonsuse NPWT to treat patients with the pilonidal disease. Themajority of them are satisfied with maintaining the tightnessand effectiveness of a vacuum dressing and would use thesingle-use NPWT systems if they were more easily available andaffordable. It seems that the NPWT in the pilonidal disease isincreasingly used and this method is gaining popularity amongpractitioners.
Źródło:
Negative Pressure Wound Therapy Journal; 2019, 6, 1; 14-17
2392-0297
Pojawia się w:
Negative Pressure Wound Therapy Journal
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Negative pressure wound therapy of an anal cancer to facilitate further treatment – case report.
Autorzy:
Magdalena, Kicińska,
Dorota, Błażejewska,
Tomasz, Banasiewicz,
Powiązania:
https://bibliotekanauki.pl/articles/776368.pdf
Data publikacji:
2016
Wydawca:
Fundacja Medigent
Opis:
A common treatment of bad healing wounds is vacuum assisted therapy (negative pressure wound therapy). The main clinical goal are: reduced time of wound healing, decreasing frequency of septic complications, and better functional and cosmetic effect. One of the main contraidications include a malignant process in the patient, however, it is reported that in some cases it has achieved possitive results. 68 years-old man was admitted to the hospital due to resection of giant anal cancer. Because of severe problems with passing stool, size of the lesions, sphincter infiltration and full dysfunction, according to the patient’s acceptation abdominoperineal rectal resection with end colostomy was performed. An open, non-healed wound was a contraindication for radiotherapy – the most advisable type of treatment in advanced anal cancer. Despite of potential malignancy in the wound, because the non-healed wound delaying the radiotherapy the negative pressure wound therapy was introduced to improve healing, close the wound and enable radiotherapy. Potential benefits and risks of npwt treatment should always be considered. In some selected cases of oncologic patients after the surgery npwt can be considered, especially when our treatment is used in palliative management or even when the proliferation of neoplastic tissues does not affect the duration of life (paliative treatment, morbidity, old age etc.)    
Źródło:
Negative Pressure Wound Therapy Journal; 2016, 3, 1
2392-0297
Pojawia się w:
Negative Pressure Wound Therapy Journal
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Improvement of Therapy Outcomes after Negative Pressure Wound Therapy in a Patient with Acne inversa.
Autorzy:
Wojciech, Francuzik,
Tomasz, Banasiewicz,
Zygmunt, Adamski,
Powiązania:
https://bibliotekanauki.pl/articles/776410.pdf
Data publikacji:
2014
Wydawca:
Fundacja Medigent
Opis:
Treatment of acne inversa (also known as hidradenitis suppurativa) is complicated and chronic. This debilitating, inflammatory disease of the follicular sacks affects mostly young adults and has a strong negative impact on their quality of life. We present a case of a 28 year old woman with a history of acneinversa of Hurley grade 2 for 6 years. Patient underwent surgical excision of the skin of the left inguinum followed by negative pressure therapy dressings for 2 and a half weeks (5 dressing changes). This allowed a full closure of the wound after 12 weeks and formation of a well accepted scar. Patient’s paindecreased from 4.5 to 1.5 according to visual assessment scale. We also noted a 28 point decrease in disease severity score according to Sartorius scale and a 19 point decrease in Dermatology Life Quality Index. Two years prior admission patient had undergone surgical treatment of her right inguinum with split thickness skin grafting, which healed for 26 weeks and yielded less satisfactory results. Comparison photographs of both treatment results are presented.
Źródło:
Negative Pressure Wound Therapy Journal; 2014, 1, 1
2392-0297
Pojawia się w:
Negative Pressure Wound Therapy Journal
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Charcot foot (neuropathic arthropathy) in diabetes as a "special needs foot". Case report of an efficient negative pressure wound therapy use.
Autorzy:
Bartosz, Cybułka,
Powiązania:
https://bibliotekanauki.pl/articles/776376.pdf
Data publikacji:
2018
Wydawca:
Fundacja Medigent
Opis:
Diabetes is the most common endocrine disorder of carbohydrate metabolism. If left untreated, or improperly treated for many years, diabetes leads to multiple organ complications. One of the serious consequences of the disease is damage to the peripheral and autonomic nerves known as diabetic neuropathy. The most advanced form of neuropathy, leading to damage to the structures of the forefoot, midfoot and hindfoot, is the so called Charcot foot, or neuropathic osteoarthropathy. Irreversible damage to the structures of the foot affects between 0,1% and 7.5% of patients with diabetes. The optimal care for that form of foot damage is still a subject to debate. Available methods of caring for Charcot foot include invasive orthopedic treatment and conservative treatment. The use of negative pressure woudn therapy may be an effective, as well as transitional, way of managing Charcot foot.  
Źródło:
Negative Pressure Wound Therapy Journal; 2018, 5, 1
2392-0297
Pojawia się w:
Negative Pressure Wound Therapy Journal
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Successful treatment of postoperative, radiation-associated wound dehiscence around tracheostomy with negative pressure wound therapy.
Autorzy:
Ewa, Migacz,
Dominik, Walczak,
Adam, Maciejewski,
Wojciech, Kukwa,
Powiązania:
https://bibliotekanauki.pl/articles/776382.pdf
Data publikacji:
2018
Wydawca:
Fundacja Medigent
Opis:
We present case report of 62-year-old man who underwent total laryngectomy, bilateral neck dissection and radiotherapy due to laryngeal cancer. After 11 months he was reoperated because of a local recurrence. The second procedure was complicated with postoperative wound dehiscence in tracheostomy site which was successfully treated with negative pressure wound therapy. We indicate the difficulties and point technical solutions for negative pressure dressing around the airway.
Źródło:
Negative Pressure Wound Therapy Journal; 2018, 5, 2
2392-0297
Pojawia się w:
Negative Pressure Wound Therapy Journal
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The The role of nutritional intervention in negative pressure wound therapy in a patient treated by open abdomen method - case report.
Autorzy:
Barbara, Kuczynska,
Powiązania:
https://bibliotekanauki.pl/articles/776420.pdf
Data publikacji:
2017
Wydawca:
Fundacja Medigent
Opis:
Introduction Wound healing process depends on many factors. As it has been proved many times before, nutrition is one of the key factors in wound healing therapy. When there is an insufficient supply of nutrients and malnutrition, wound healing processes slow down and the inflammatory phase is prolonged, which requires high energy expenditure and as a consequence may lead to the loss of lean body mass and the development of sarcopenia and cachexia. This promotes the formation of non-healing chronic wounds. In this paper, we would like to emphasize the role of nutrition, as an integral part of wound healing processes, which should encompass the current metabolic needs associated with patient’s clinical condition. This case describes a young male patient with gastrointestinal tract insufficiency and an extensive postoperative wound treated by the open abdomen method. In the course of increased catabolism, water and electrolyte loss and disturbances as well as nutritional insufficiencies, body mass loss and progressive cachexia occurred in this patient and, as a consequence, the wound healing processes was significantly diminished. Inducing and maintaining the anabolic processes in the organism and control of the enhanced catabolism in response to metabolic stress or injury are essential actions in optimizing the treatment and healing process. These are possible to achieve by the early introduction of balanced and individualized nutritional treatment regimens, provision of the energy and appropriate nutrients, which enables the restoration of lean body mass and stimulation of the healing processes.
Źródło:
Negative Pressure Wound Therapy Journal; 2017, 4, 1
2392-0297
Pojawia się w:
Negative Pressure Wound Therapy Journal
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Novel Technique for Treating Multiple Wounds with Negative Pressure Wound Therapy
Autorzy:
Andrzej, Walczak, Dominik
Rajmund, Jaguśik,
Karolina, Ptasińska,
Michał, Wojtyniak,
Wojciech, Trzeciak, Piotr
Powiązania:
https://bibliotekanauki.pl/articles/776370.pdf
Data publikacji:
2015
Wydawca:
Fundacja Medigent
Opis:
Treatment of separate wounds on the same patient with one NPWT device may be challenging. We present novel, cost-effective technique for multiple wounds management.
Źródło:
Negative Pressure Wound Therapy Journal; 2015, 2, 2
2392-0297
Pojawia się w:
Negative Pressure Wound Therapy Journal
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A simple and low- cost technique for Closed Incision Negative-Pressure Therapy
Autorzy:
Andrzej, Walczak, Dominik
Michał, Wojtyniak,
Wojciech, Trzeciak, Piotr
Dariusz, Pawełczak,
Zbigniew, Pasieka,
Powiązania:
https://bibliotekanauki.pl/articles/776436.pdf
Data publikacji:
2017
Wydawca:
Fundacja Medigent
Opis:
Surgical site infection (SSI) makes patient care more expensive by prolonging antibiotic usage and hospital stay. Negative pressure wound therapy (NPWT) has been recently reported as a preventive strategy to avoid SSI. We present a simple and low-cost vacuum dressing that may improve surgical wound healing and prevent high-risk wounds from complications.
Źródło:
Negative Pressure Wound Therapy Journal; 2017, 4, 1
2392-0297
Pojawia się w:
Negative Pressure Wound Therapy Journal
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Severe deep neck infections successfully treated with negative pressure wound therapy with instillation - a case report
Autorzy:
Krzysztof, Szmyt,
Adam, Bobkiewicz,
Łukasz, Krokowicz,
Tomasz, Banasiewicz,
Powiązania:
https://bibliotekanauki.pl/articles/776400.pdf
Data publikacji:
2020
Wydawca:
Fundacja Medigent
Opis:
Background: Deep neck infection (DNI) is a life-threatening complication associated with significant mortality and morbidity rates. The most common causes of DNI are the tonsilitis, dentitis, salivary glands inflammation, malignancies, and foreign bodies. As a result of neck infection, patients are at high risk of potential secondary complications which include: descending mediastinitis, pleural empyema, septicemia, jugular vein thrombosis, pericarditis. We presented a case of successful management of DNI with the utility of negative pressure wound therapy with instillation (iNPWT). Method: A 37-year-old male with deep neck infection due to dentitis was qualified for iNPWT. Due to previous incisions and drainage of the neck abscesses, some undermined wounds drained towards each other’s were revealed with an excessive amount of purulent content. Standard NPWT dressing was placed and polyurethane foam was covered with contact layer dressing. Additionally, an inflow drain was placed within one of the wounds in regard to instill an antimicrobial solution. The wound was instilled four times daily. Results: The patient underwent a total of eight iNWPT sessions. Locally, a reduction in purulent content was achieved with a decrease of wounds’ dimensions and improvement of wound bed granulation. Moreover, improvement of the patient’s general condition and decrease of inflammatory markers was achieved. Conclusions: iNPWT may play an important role in the management of combined, complicated wounds due to DNI. The instilled antimicrobial solution facilitates dissolving and removing of the purulent content that impairs the wound healing.
Źródło:
Negative Pressure Wound Therapy Journal; 2020, 7, 2; 10-14
2392-0297
Pojawia się w:
Negative Pressure Wound Therapy Journal
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A Case of Crush Injury of The Right Foot in a 26-year-old Man Treated with Platelet Rich Plasma and Negative Pressure
Autorzy:
Paweł, Zalita,
Powiązania:
https://bibliotekanauki.pl/articles/776422.pdf
Data publikacji:
2015
Wydawca:
Fundacja Medigent
Opis:
Treatment of a crash injury is a largely complicated and time-consuming process. Multidirectional damages often result in skin necrosis, edema, blood circulation disorders and bone fractures. We present a case of a 26-year-old man with right foot crush injury. After trauma he underwent a complex therapy which embraced: anti-oedematous treatment, negative pressure wound therapy, reposition of the bones under  X-ray control with the stabilization by means of Kirschner wires, immobilization and transdermal application of the platelet-rich plasma in the fracture fissure – as a nonunion treatment.
Źródło:
Negative Pressure Wound Therapy Journal; 2015, 2, 1
2392-0297
Pojawia się w:
Negative Pressure Wound Therapy Journal
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Negative Pressure Wound Therapy (NPWT) in Breast Surgery
Autorzy:
Abdalla, SAAD ABDALLA AL-ZAWI,
Vanessa, SALIH,
Amira, Asaad,
Rebecca, Harsten,
Abdou, Alkhir, Momen
Hamad, BenRafe,
Tomasz, Banasiewicz,
Powiązania:
https://bibliotekanauki.pl/articles/776384.pdf
Data publikacji:
2019
Wydawca:
Fundacja Medigent
Opis:
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. 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. 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. 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.
Źródło:
Negative Pressure Wound Therapy Journal; 2019, 6, 4; 10-14
2392-0297
Pojawia się w:
Negative Pressure Wound Therapy Journal
Dostawca treści:
Biblioteka Nauki
Artykuł
Wyświetlanie 1-15 z 30

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