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Home Care Based Negative Pressure Wound Therapy – an Economical and Effective Therapeutic Alternative

Ravi Kumar Chittoria, Head, Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Pondicherry 605006, India. , Kumar E.a , Chittoria R.K.b , Pandey S.a , Mohapatra D.P.c , Friji M.T.c , Dinesh K.S.c

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New Indian Journal of Surgery 9(1):p 37-40, Jan-Feb 2018. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9118.7

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Abstract

Background: Chronic non healing ulcers are challenging problems faced by reconstructive surgeons. And treating these problems are huge economical burden and consuming more manpower to take care them in hospital setting. The aim of this paper is to share our experience of an economical and effective technique of wound care.

Materials and Methods: This is a retrospective hospital based study of chronic non healing ulcers treated in JIPMER hospital from 2012 to 2014. The study consists of 11 patients of all age groups and both genders. Wounds were treated with periodic wound debridement done in hospital followed by home based negative pressure therapy for all cases. SSG was also done in few patients after wound bed preparation. Follow up done for 6 months.

Results: 11 patients were taken for the study consisted of 7 males and 4 females. Ulcers involving upper and lower limbs are treated. End results were analysed by healing of the wound and maintaining the stable scar. Wound healing achieved by secondary intention in 9 patients and SSG was done in 2 patients. Number of hospital visits averaged 7. Average duration of treatment is 43 days. 3 patients are admitted only after skin grafting.

Conclusion: Economical and effective wound care can be achieved by home care based negative pressure wound therapy with using simple appliances and proper education of patients and relatives.

 

 

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9118.7

Keywords

NPWT; NonHealing Ulcer; UlcersHome Care. 

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