Use of Reticulated Open Cell Foam Dressings With Through Holes During Negative Pressure Wound Therapy With Instillation and Dwell Time

A Large Case Study

Luis G. Fernández, MD, FACS, FASAS, FCCP, FCCM, FICS; Marc R. Matthews, MD, MS, MC, FACS; Cynthia Ellman, RN, BSN, CWOCN; Patricia Jackson, BSN, RN, CWOCN; David H. Villarreal, MD, FACS; Scott Norwood, MD, FACS, FCCM

Disclosures

Wounds. 2020;32(10):279-282. 

In This Article

Discussion

During wound care, removal or reduction of devitalized tissue and debris is necessary to help promote wound healing.[1–3] However, in certain patient populations, sharp or surgical wound debridement is not available or appropriate. In these patients, the use of NPWTi-d with the ROCF-CC dressing may assist in wound cleansing through the removal of thick exudate and infectious materials.

Previously published literature describing the use of NPWTi-d with ROCF-CC dressings is limited. However, the existing studies reported on NPWTi-d with ROCF-CC dressing use in similar patient populations to the present study.[9–12] The patient populations in each of the studies had reported comorbidities of diabetes mellitus, obesity, hypertension, and vascular insufficiency,[9–12] indicating that NPWTi-d use with ROCF-CC dressings may be beneficial for the treatment of complex wounds in these groups of patients. In the aforementioned studies, wound types included the following: pressure injuries, ulcers, necrotizing fasciitis, diabetic foot ulcers, and surgical dehiscence.[9–12] The present patient population wound types differ slightly from the published literature, with the addition of traumatic wounds.

In the present patient population, the effective removal of thick exudate and infectious materials was observed following use of NPWTi-d with ROCF-CC dressings. This result mirrored that of the studies by Téot et al,[9] Fernández et al,[10] Blalock,[11] and McElroy.[12] Téot et al[9] noted rapid granulation tissue formation and reduction of thick exudate and devitalized tissue following NPWTi-d with ROCF-CC dressing use in 20 out of 21 patients. The studies by Fernández et al (N = 5),[10] Blalock (N = 19),[11] and McElroy (N = 14)[12] noted increased granulation tissue formation and reduction in devitalized tissue following NPWTi-d with ROCF-CC dressing use in 100% of the study populations. Blalock[11] noted that NPWTi-d with ROCF-CC dressing use helped contribute to limb salvage by aiding in wound cleansing and removal of infectious materials and thick exudate.

Following successful wound cleansing, all patients in this study were discharged from acute care to other facilities or the home. This rate of discharge is similar to results from 3 of the 4 available studies.[10–12] Téot et al[9] did not report on patient outcomes after NPWTi-d with ROCF-CC dressing use was discontinued.

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