Handling the sequelae of breast cancer treatment: use of NPWT to enhance patient independence

Awad, Tariq; Butcher, Martyn

doi:10.12968/jowc.2013.22.3.162

Cited by 5 publications

(6 citation statements)

References 17 publications

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“…The same authors also reported a different case of a patient with a dehisced surgical breast wound, who was treated with the SNaP system for 6 weeks. The wound depth decreased substantially from 6 cm to less than 1.5 cm after treatment . Neiderer et al reported encouraging results of the SNaP system in an elderly male with a large venous leg ulcer after prior failure of treatment from prednisone and topical application of tacrolimus.…”

Section: Resultsmentioning

confidence: 99%

“…Nevertheless, the overall quality of the current evidence remains poor, comprising of sporadic case series, retrospective studies, and only two RCTs with inconsistent conclusions. Whilst no firm conclusion can be made regarding its superiority over current NPWT systems in terms of wound‐healing outcomes, there are clear benefits from the shorter device application time, improved patient satisfaction, and quality of life …”

Section: Discussionmentioning

confidence: 99%

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The smart negative pressure (SNaP) wound care system: A case series from Singapore

Wee

Mak

O'Donnell

et al. 2019

International Wound Journal

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The Smart Negative Pressure (SNaP) wound care system is a novel device that is single‐patient use, ultra‐portable, and light weight and does not rely on battery or need recharging. A systematic search was performed on major databases to identify relevant articles including case reports, retrospective case series, and randomised controlled trials. Ten studies were identified, showing that the SNaP wound care system is an effective tool in treating small‐sized wounds and may serve as an alternative to current electrically powered modalities. Furthermore, the system's small size and convenience leads to greater patient satisfaction and improves quality of life. Finally, we report our initial positive experiences with two cases in our institution. Although the evidence thus far has been encouraging, and patient satisfaction is higher than other wound care systems, further evidence is required to determine its superiority over current systems in terms of wound‐healing outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The smart negative pressure (SNaP) wound care system: A case series from Singapore

Wee

Mak

O'Donnell

et al. 2019

International Wound Journal

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“…59 There may be a disadvantage in the need to carry the portable pump, although reports show that pumps are small enough to conceal and do not interfere with daily life. 1,9,12 Difficulty of use can be avoided with proper patient counseling given before discharge with portable NPWT. Additionally, as dressing changes require regular visits from a health care professional, these can also be utilized to consolidate the patients' understanding of the device.…”

Section: Patient Perspectivesmentioning

confidence: 99%

“…3 Its use has been described in recalcitrant wounds such as pressure sores, 4,5 radiation ulcers, 6 degloving injuries, 7 and a wide variety of wounds with acute or chronic infection. 8 It has also been used postoperatively in radical mastectomy, 9 cesarean section, 10 sternotomy, 11 nonresolving empyemas, 12 partialthickness burns, 13 temporary abdominal closure, 14 prevention of groin wound infection following pilonidal sinus resection, 15 and open vascular procedures. 16 NPWT in combat injuries sustained in austere environments has also been documented.…”

Section: Introductionmentioning

confidence: 99%

Using portable negative pressure wound therapy devices in the home care setting

Burke¹,

Morley²,

Khanbhai³

2014

SHTT

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Negative pressure wound therapy (NPWT) is the continuous or intermittent application of subatmospheric pressure to the surface of a wound that improves the wound environment, accelerates healing, and reduces wound closure time. Since its first documented use, this technology has lent itself to a number of adaptations, most notably, the development of portable devices facilitating treatment in the home care setting. With advancing surgical standards, wound healing is an important rate-limiting factor in early patient discharge and often a major cost of inpatient treatment. The efficacy of NPWT in the home care setting has been investigated through rate of wound closure, time in care, and patient experience. Rate of wound closure is the most appropriate primary end point. Much can be gleaned from patient experience, but the future success of portable NPWT will be measured on time in care and therefore cost effectiveness. However, there is a lack of level 1a evidence demonstrating increased efficacy of portable over inpatient NPWT. The development of portable NPWT is an encouraging innovation in wound care technology, and extending the benefits to the home care setting is both possible and potentially more beneficial.

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“…2 There are only few contraindications for the negative pressure wound therapy use (e.g. an active malignant process, 3 however, it is reported that in some cases it has achieved positive effects [4][5][6][7][8][9][10] ).…”

Section: Introductionmentioning

confidence: 99%

Negative pressure wound therapy use in the treatment of patient with an active process of anal cancer in order to the further treatment – case report.

Kicińska

Błażejewska

Banasiewicz

2016

NPWTJ

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Abstract-Anal cancer occurs very rare in our population. Its treatment depends on the advancement of the process. Occasionally, the lesions are removed surgically, but most of advanced lesions are treated by radiotherapy and chemotherapy, also combined with surgical removal. Sometimes the combination therapy is difficult to perform, in cases when there is no possibility to protect the bowels against the direct side effects of radiotherapy due to wide excision. In most complicated and non-healing wounds, negative pressure therapy significantly improves the treatment results. This kind of treatment has also its restrictions: main contraindication is an active malignant process, however, it is reported that in some cases it has achieved positive effects.68 years-old man was admitted to the Proctological Outpatient Office because of perianal genital warts. Histological examination diagnosed them as condylomata acuminata but when the patient reported back to the same Outpatient Office after 2 years, he presented with a giant perianal tumor. Because of severe problems with passing stool, size of the lesions, sphincter infiltration and its full dysfunction, abdominoperineal rectal resection with end colostomy was performed. In the histological examination anal cancer was recognized: stage IIIA: T3N1M0 and further radiotherapy and chemotherapy were indicated. An open, nonhealing wound was a contraindication for radiotherapy. Despite the potential malignancy in the wound, the negative pressure wound therapy (with the continuous pressure -100 mmHg) was introduced. After 20 days of treatment, the wound was closed by granulation. Patient was qualified to the radiation therapy (60 Gy) combined with 5-FU and Mitomycin C, with good results.In our case, applying negative pressure wound therapy resulted in wound closing and allowed to introduce the main way of healing -radiotherapy, suggesting that NPWT can be used as supportive management of neoplastic diseases.

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Handling the sequelae of breast cancer treatment: use of NPWT to enhance patient independence

Cited by 5 publications

References 17 publications

The smart negative pressure (SNaP) wound care system: A case series from Singapore

The smart negative pressure (SNaP) wound care system: A case series from Singapore

Using portable negative pressure wound therapy devices in the home care setting

Negative pressure wound therapy use in the treatment of patient with an active process of anal cancer in order to the further treatment – case report.

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