Circumferential Negative Pressure Wound Therapy dressing as an Edema Management option for Mixed Vascular Disease and Leg Ulcers treatment

The challengewas to reduce edema on patient with chronic leg ulcers and compromised arterial circulation in mixed vascular disease, to promote wound healing

In all three patients wounds failed to respond to regular treatment, compression wraps were not an option due to low ABIs, revascularization was not possible at the moment either due to medical condition or patient’s refusal

NPWT was started with Antimicrobial Gauze Circumferential dressing at 90 to 100mm/Hb continuously, dressing change 2-3xWeek in out-patient setting and/or Home Health.

Patient’s oral regimen was unchanged, except for the intermittent addition of oral antibiotics. Sharp conservative debridement was implemented as needed

Resultedin reduction of edema within 1 week, reduction of pain level, improvement of wounds - clean granular wound bed within 3 weeks, partial closure of wound within 8 weeks

Conclusion:

In summary, based on previous success using NPWT Circumferential dressing for the treatment of chronic leg ulcers with compromised arterial circulation in mixed vascular disease, we have found the application of NPWT Circumferential dressing to be a safe and effective treatment option for chronic leg ulcers. This therapy led to substantially improved wound healing and markedly decreased pain. We believe this therapy to be a novel and promising method for the treatment of chronic leg ulcers, when traditional compression therapy cannot be used. gimen was unchanged, except for the intermittent addition of oral antibiotics. Sharp conservative debridement was implemented as needed

Comments:

NPWT Circumferential dressing assists with edema management by removing interstitial fluid (an extracellular fluid that fills the spaces between most of the cells of the body and provides a substantial portion of the liquid environment of the body. Formed by filtration through the blood capillaries, it is drained away as lymph. It closely resembles blood plasma in composition but contains less protein).