Negative pressure wound therapy in cases of spinal surgery and exposed dura: a case-based review

Sergeenko, M. Olga; Korostelev, Yu. Michail; Shikhaleva, G. Natalia; Savin, M. Dmitry; Filatov, Yu. Egor; Ryabykh, O. Sergey

doi:10.1007/s00381-021-05302-9

Cited by 2 publications

(1 citation statement)

References 29 publications

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“…: zakażenie miejsca operowanego (ZMO), odleżyny i ubytki tkanek miękkich. NPWT może być używana w przypadkach odsłonięcia opony twardej jednak należy pamiętać o dostosowaniu możliwie najniższego ciśnienia i bacznym obserwowaniu zaopatrywanej rany [9] . Terapia podciśnieniowa jest stosowana także w licznych zabiegach chirurgii jamy brzusznej.…”

Section: Npwt W Leczeniu Owrzodzeń Stopy Cukrzycowejunclassified

The effectiveness of negative pressure wound therapy compared to the traditional method in the treatment of diabetic foot

Bogucka

BRZYSKA²,

BOJARSKA³

et al. 2023

J Educ Health Sport

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Introduction and objective: Diabetes is one of the most common metabolic diseases in the world. Diabetic foot ulcers, which are often the result of the disease, are undoubtedly a nursing challenge. Negative pressure wound therapy (NPWT) is a new therapeutic method supporting wound healing, which has been useful in patients with diabetic foot. The purpose of this study is to compare the effectiveness of negative pressure therapy in comparison to the standard method in the treatment of diabetic foot. Review methods: In February 2023, articles found in the Medline (Pubmed) and Google Scholar databases were selected by using the following keywords: negative pressure wound therapy; VAC therapy; traditional dressing; standard moist wound care; diabetic foot. Brief description of the state of knowledge: NPWT has been proven to be associated with reduced healing time and faster appearance of granulation tissue, which is a sign of wound healing. Patients using this method require fewer dressing changes and surgical cleanings. Negative pressure therapy reduces the time to rehospitalisation and the risk of amputation or resection of the diabetic foot. Summary: Negative pressure wound therapy is more effective in the treatment of diabetic foot ulcers than traditional therapy. Despite the costs associated with NPWT being higher, the method proves to be more profitable. It is important to remember about good therapy technique and proper selection of patients.

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Section: Npwt W Leczeniu Owrzodzeń Stopy Cukrzycowejunclassified

The effectiveness of negative pressure wound therapy compared to the traditional method in the treatment of diabetic foot

Bogucka

BRZYSKA²,

BOJARSKA³

et al. 2023

J Educ Health Sport

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Upper Thoracic Pyogenic Spondylitis With a Paravertebral Abscess Treated With a Combination of Cranked Minimally Invasive Spinal Instrumentation and Negative Pressure Wound Therapy: A Case Report

Hayakawa,

Okano,

Tsuchiya

et al. 2024

Cureus

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Pyogenic spondylitis is generally managed conservatively; however, surgical intervention may be required depending on the patient's condition. In this report, we present a case of upper thoracic pyogenic spondylitis with a paravertebral abscess that was successfully treated using negative pressure wound therapy (NPWT) combined with a cranked rod construct and a minimally invasive posterior-only approach. This report was constructed based on previous medical records and imaging findings. A 51-year-old man with a paravertebral abscess developed pyogenic spondylitis of the upper thoracic spine (T2 and T3). Surgical treatment was chosen due to severe neurological deficits and the presence of a paravertebral abscess. However, a posterior approach for drainage and debridement was implemented to avoid damage to proximal organs. Posterior instrumented fixation surgery from the cervical spine (C6) to the thoracic spine (T6) was performed to reduce pain and maintain alignment owing to the instability of the affected vertebrae. After pedicle screw insertion, open debridement and drainage of the T2/T3 disc space and paravertebral abscess were performed using a costotransversectomy window. Because debridement was only partially possible intraoperatively with the posterior approach, NPWT was used in combination with this approach to ensure continuous postoperative drainage. To avoid exposure of the metal instrumentation to the contaminated area, the right-side rod was passed around the drainage side with connectors. Two weeks after NPWT, the wound was closed under general anesthesia. Herein, we describe the successful treatment of primary pyogenic spondylitis with a paravertebral abscess in the upper thoracic spine using posterior instrumentation surgery combined with NPWT. In cases where complete debridement of infected tissue is not achieved, NPWT may serve as a valuable adjunctive treatment.

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Negative pressure wound therapy in cases of spinal surgery and exposed dura: a case-based review

Cited by 2 publications

References 29 publications

The effectiveness of negative pressure wound therapy compared to the traditional method in the treatment of diabetic foot

The effectiveness of negative pressure wound therapy compared to the traditional method in the treatment of diabetic foot

Upper Thoracic Pyogenic Spondylitis With a Paravertebral Abscess Treated With a Combination of Cranked Minimally Invasive Spinal Instrumentation and Negative Pressure Wound Therapy: A Case Report

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