Initial Experience Using Disposable Negative Pressure Wound Therapy for Closed Incisions Following Outpatient Wound Reconstruction

Michael N. Desvigne, MD, FACS, CWS, FACCWS; Michael L. Berman, DO, CWSP, FACCWS, FAPWH; D. Scott Villanueva, PA-C; Kristina Fawcett, NP-C, CWS; Jessica Aragon, RN, BSN; Ashley L. Wardman, LPN; and Jay Moya, MA

Disclosures

Wounds. 2020;32(6):E31-E33. 

In This Article

Abstract and Introduction

Abstract

Wound reconstruction surgeries are at high risk for failure. Outpatient wound reconstruction (OWR) describes these procedures performed in the outpatient setting under local anesthesia. The use of closed incision negative pressure therapy (ciNPT) has been shown to protect the incision and help minimize the risk of postoperative complications. To date, this has not been readily adopted in the outpatient setting. The authors report their initial experience with 3 cases of OWR with ciNPT used by the application of disposable negative pressure wound therapy (dNPWT) to the closed, postsurgical incision. The results of these 3 cases were favorable. While more data are needed, the authors believe the use of dNPWT with OWR will help optimize surgical outcomes and serve as an alternative to surgery with acute hospitalization.

Introduction

Previous literature has provided data supporting the use of closed incision negative pressure therapy (ciNPT), which has been shown to protect the incision environment and minimize edema, for the management of closed incisions in patients with a high risk of developing complications.[1] Therefore, wound reconstruction surgical procedures, which are at high risk for failure, may benefit from ciNPT. Historically, wound reconstruction procedures and the application of ciNPT have been performed in an acute hospital setting.

The objective of this study was to describe the authors' early experiences with 3 cases of wound reconstruction surgeries performed in an outpatient setting under local anesthesia, followed by the application of disposable negative pressure wound therapy (dNPWT) to the closed postsurgical incision.

Comments

3090D553-9492-4563-8681-AD288FA52ACE

processing....