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Use of indigenously made negative-pressure wound therapy system for patients with diabetic foot.
MedLine Citation:
PMID:  23337647     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: : Negative-pressure wound therapy (NPWT) is a well-known treatment modality for chronic, difficult, nonhealing wounds. Unfortunately, many commercially available negative-pressure therapy systems for wounds are expensive, require hospitalization, and may not be available throughout the world. The authors have designed a less expensive and effective NPWT system from components readily available in the hospital.
DESIGN: : The system is assembled from ethylene oxide sterilized polyurethane foam, transparent adhesive dressing, and a simple negative suction drain system, which is being routinely used in surgical cases. The multiple holes suction tube is inserted between 2 layers of polyurethane foam and is put on the wound, which is sealed by adhesive dressing. The negative pressure is created using a closed wound suction set. The dressing is changed every third day or as needed.
MAIN RESULTS: : The authors have used this system in 11 patients with diabetic foot. The mean time for preparation of wound for surgery with this system was 7 days (5-9 days). The raw areas were either secondarily closed or were covered with split-thickness skin graft. The mean hospital stay for debridement and definitive surgical procedure was 11 days (8-15 days).
CONCLUSION: : In the authors' experience, the NPWT system developed from off-the-shelf components reduces the length of hospital stays and therefore cost, without any compromise on quality. It leads to a quicker wound closure and reduces the need for multiple surgeries or flaps. This modification presents a simple, cheap, and effective alternative to commercially available NPWT machines.
Authors:
Hemant A Saraiya; Mukesh N Shah
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Advances in skin & wound care     Volume:  26     ISSN:  1538-8654     ISO Abbreviation:  Adv Skin Wound Care     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100911021     Medline TA:  Adv Skin Wound Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  74-7     Citation Subset:  N    
Affiliation:
Hemant A. Saraiya, MS, MCh(Plastic), is Director, Sushrut Plastic Surgery Research Center, and Consultant Plastic Surgeon, Gujarat Cancer & Research Institute, Ahmedabad, Gujarat, India. Mukesh N. Shah, MS, is Assistant Professor of Orthopedics, GCS Medical College, Ahmedabad, Gujarat, India.
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