Negative Pressure Wound Therapy (NPWT) Using On-shelf Products for Treatment of Posttraumatic Wounds: A Case Series
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- Category: Vol. 80, December 2012
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Negative Pressure Wound Therapy (NPWT) Using On-shelf Products for Treatment of Posttraumatic Wounds: A Case Series, MAGED S.S. SALEH
Abstract
Objectives: To assess the efficacy of on-shelf products as a substitute for negative pressure wound therapy (NPWT) when commercial devices are not available and to explain the way those on shelf products can be used.
Material and Methods: On-shelf products that have been tried by the researcher as a substitute for the commercial expensive devices consisted of two suction tubes, a sterile plastic reusable canister, a dressing medium which is either foam sponge derived from a sterile scrubbing brush, or ordinary sterile gauze, adhesive sheet (e.g. Opsite), a nasogastric tube and the suction set with bacterial filter and a measuring gauge; to assess the suction power; fixed to the suction pipe in the room.
Case series: During the period from January 2008 till August 2012, Ten case were treated in Aseer Central Hospital, Abha, Saudi Arabia, using the on-shelf products (five cases with foam, four with gauze, and one in wich both types were used. Continuous suction mode was used in all cases.
Conclusions: Despite the fact that commercially provided devices for NPWT are quite expensive, it remains a cost-effective adjunct to wound healing. The use of on-shelf universally available substitutes for the expensive commercially provided NPWT devices proved to be effective, much cheaper and hence, more cost-effective.