Complications associated with the negative pressure therapy in the treatment of the diabetic foot ulcers: Retrospective case series

Oreja, Sara García; González-Moncayo, Javier Navarro; Corbalán, Irene Sanz; Morales, Esther García; Afonso, Francisco Javier Álvaro; Martínez, José Luis Lázaro

doi:10.1016/j.repod.2017.06.001

Cited by 3 publications

(5 citation statements)

References 16 publications

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“…Related to the complications of negative pressure therapy, according to Llamas Fernández, this novel vacuum-assisted closure therapy can cause slight complications, notably maceration of the perilesional skin. In the same way, García Oreja, 6 like Llamas Fernández, 16 states that the most frequent complication is perilesional maceration with a significantly higher percentage than other complications such as infection or necrosis. On the other hand, according to Wynn, et al, 18 the application of this therapy reduces the incidence of amputation significantly compared to those patients treated with conventional wound healing therapies.…”

Section: Discussionmentioning

confidence: 90%

“…In the article by Vasallo IM and Formosa C, 23 it was observed that, after the application of negative pressure therapy in 15 patients, it was 3.2 times more effective in reducing the surface area and 3.78 times more effective to decrease wound depth compared to patients treated with calcium alginate. In the studies by Llamas Fernández, 16 and García Oreja et al, 6 it was observed that of the 82 patients who presented some complication associated with negative pressure therapy, the most frequent was maceration of the perilesional skin in 49% of cases, compared to 12% for necrosis and 7% for infection (Graph 2).…”

Section: Source: Self-madementioning

confidence: 93%

“…Therefore, the most important prophylactic measure is to raise the pressure progressively and slowly, allowing the patient to get used to the sensations of negative pressure. 6,7…”

Section: Complications Associated With Negative Pressure Therapymentioning

confidence: 99%

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Evidence for the benefits of negative pressure therapy in the treatment of diabetic foot in adults: a comprehensive approach to improved health

Astasio Picado,

Blazquez Linares,

González Chapado

et al. 2024

MOJGG

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Diabetic foot ulcers represent an increase in recent years in the cures to be carried out by nursing staff. For this reason, the new negative pressure therapy has been chosen, which involves an increase in granulation tissue, leading to complete healing in a minimum time, highlighting the few complications derived from said therapy. Objective: To demonstrate the effectiveness of negative pressure therapy in patients with diabetic foot. Methodology: A narrative review was carried out between December 2022 and November 2023 in the databases of Pubmed, Dialnet, Google Scholar, WOS, Scopus and Cochrane, following a search string, which combines keywords derived from the thesauri “Health Sciences Descriptors” (DeCS) and “Medical Subject Headings” (MeSH), being combined with the Boolean operators “NOT”, “OR” and “AND”. Results: Negative pressure therapy offers a number of significant benefits for adult patients with diabetic foot, improving wound healing, reducing the risk of serious complications and contributing to a better quality of life. It is important to highlight that the implementation of this therapy must be guided by health professionals and adapted to the specific needs of each patient. Conclusion: After comparing the different selected articles, it was determined that the application of negative pressure therapy in diabetic foot ulcers is beneficial in relation to the reduction in healing time compared to conventional wound healing dressings. The associated complications being minimal. Furthermore, treatment with this therapy turns out to be cost-effective by reducing patients' hospital stays, leading to an increase in quality of life.

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Section: Discussionmentioning

confidence: 90%

Section: Source: Self-madementioning

confidence: 93%

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Evidence for the benefits of negative pressure therapy in the treatment of diabetic foot in adults: a comprehensive approach to improved health

Astasio Picado,

Blazquez Linares,

González Chapado

et al. 2024

MOJGG

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“…According to the scientific literature, TPN is indicated in surgical wounds, vascular, diabetic or pressure ulcers, burns, necrotized wounds, grafts, open abdominal incisions and infected wounds. However, this therapy is contraindicated in the presence of necrosis in the ulceral bed, untreated osteomyelitis, non-enteric or unexplored fistulas, malignant lesions, and wounds with exposure of veins, nerves, or organs in the insertion área [11,12]. TPN also entails complications such as bleeding or necrosis, perilesional maceration, with infection and local pain being the most frequent and to a lesser extent.…”

Section: Introductionmentioning

confidence: 99%

Nurse Approach in the Treatment of Piabetic Foot Ulcers with the Management of Negative Pressure Therapy

Astasio-Picado¹

2021

J Diabet Res Rev Rep

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The global increase of Diabetes Mellitus represents serious complications for those who suffer from it, the most frequent complications are diabetic foot ulcers and amputations derived from them. Currently, negative pressure therapy (NPT) is used as an advanced therapy for the treatment of this type of ulcers. This novel therapy promises numerous advantages for the nursing approach to patients with diabetic foot ulcers. Therefore, the objective of this narrative review is to prove the effectiveness of the negative pressure therapy as a treatment for diabetic foot ulcers. The search of the articles was carried out in several scientific databases with the help of a searching chain, which combined the keywords and boolean operators. 16 studies were selected, which indicated that NPT as a treatment for diabetic foot ulcers provides benefits such as promoting the formation of granulation tissue, healing and closing of the ulcer in a shorter time, as well as reducing ulcer depth and area and even decreases the bacterial load, the rate of amputations and reulcerations. Hence, NPT is an effective therapy that should be applied to clinical practice

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“…A recent retrospective case study, including 57 DFU patients treated with NPWT complications showed 49% of the patients developed maceration of skin at the borders of the wound, 14% of bleeding, 12% of necrosis at the wound area, 7% of developed systemic signs or infection, while 2% with severe pain during changing the dressing [ 28 ]. This therapy has been known as an expensive treatment as compared to the currently available conventional DFU treatment [ 29 ].…”

Section: Introductionmentioning

confidence: 99%

Cellulose/Collagen Dressings for Diabetic Foot Ulcer: A Review

Naomi

2020

Pharmaceutics

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Diabetic foot ulcer (DFU) is currently a global concern and it requires urgent attention, as the cost allocation by the government for DFU increases every year. This review was performed to provide scientific evidence on the advanced biomaterials that can be utilised as a first-line treatment for DFU patients. Cellulose/collagen dressings have a biological property on non-healing wounds, such as DFU. This review aims to analyse scientific-based evidence of cellulose/collagen dressing for DFU. It has been proven that the healing rate of cellulose/collagen dressing for DFU patients demonstrated a significant improvement in wound closure as compared to current standard or conventional dressings. It has been scientifically proven that cellulose/collagen dressing provides a positive effect on non-healing DFU. There is a high tendency for cellulose/collagen dressing to be used, as it highly promotes angiogenesis with a rapid re-epithelisation rate that has been proven effective in clinical trials.

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Complications associated with the negative pressure therapy in the treatment of the diabetic foot ulcers: Retrospective case series

Cited by 3 publications

References 16 publications

Evidence for the benefits of negative pressure therapy in the treatment of diabetic foot in adults: a comprehensive approach to improved health

Evidence for the benefits of negative pressure therapy in the treatment of diabetic foot in adults: a comprehensive approach to improved health

Nurse Approach in the Treatment of Piabetic Foot Ulcers with the Management of Negative Pressure Therapy

Cellulose/Collagen Dressings for Diabetic Foot Ulcer: A Review

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