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The Role of Negative-Pressure Wound Therapy in Lower-Limb Reconstruction
- Source :
- Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India, Indian Journal of Plastic Surgery, Vol 52, Iss 01, Pp 073-080 (2019)
- Publication Year :
- 2019
- Publisher :
- Thieme Medical and Scientific Publishers Private Ltd., 2019.
-
Abstract
- Negative-pressure wound therapy (NPWT) has gained increasing popularity among clinicians since its introduction in 1997 as a potential aid to wound healing. Multiple benefits of NPWT have since been proven in studies, including increase in granulation tissue formation, decrease in bacterial load, and the improved survival of flaps. With our increasing use and greater understanding of the tissue and cellular changes that occur in a wound treated with NPWT, our lower-limb reconstructive practice has also evolved. Although controversial, the definite timing for lower-limb reconstruction has stretched from 72 hours to longer than 2 weeks as NPWT contains the wound within a sterile, closed system. It has also shown to decrease the rate of infection in open tibia fractures. Previously, a large number of critical defects of the lower limb would require free tissue transfer for definitive reconstruction. NPWT has reduced this rate by more than 50% and has allowed for less complicated resurfacing procedures to be performed instead.
- Subjects :
- medicine.medical_specialty
Wound therapy
medicine.medical_treatment
lcsh:Surgery
Improved survival
Review Article
030230 surgery
tissue resurfacing
Lower limb
03 medical and health sciences
0302 clinical medicine
Negative-pressure wound therapy
lower-limb trauma
medicine
Tibia
lower-limb reconstruction
business.industry
Granulation tissue
030208 emergency & critical care medicine
lcsh:RD1-811
Review article
Surgery
medicine.anatomical_structure
negative-pressure wound therapy
Wound healing
business
Subjects
Details
- Language :
- English
- ISSN :
- 1998376X and 09700358
- Volume :
- 52
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
- Accession number :
- edsair.doi.dedup.....db2c87d9b9143140c6f3e665289522a5