The Use of Continuous Suction Negative Pressure Instead of Pressure Dressing

Silvis, R.; Potter, Leo E.; Robinson, Donald W.; Hughes, William F.

doi:10.1097/00000658-195508000-00011

Cited by 34 publications

(7 citation statements)

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“…[4] Raffl was the first one to describe a practical way of continuous negative suction [5] and later its benefits were proven. [6] NPWT proved to be better than moist gauze dressings in diabetic feet, [7] effective in the treatment of chronic leg ulcers [8] and also showed better graft take p < .05. [9] Previously NPWT were always applied during hospital admission.…”

Section: Discussionmentioning

confidence: 90%

Innovation in wound management with disposable, portable, cost-effective and non-powered NPWT device: Experience in general surgery

Bashir¹,

Ulain²,

O’Brien³

et al. 2017

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Wound management is vital part of surgery. We used a non-powered, disposable, portable Negative Pressure Wound Therapy dressing (NPWT) ("Nanova™", KCI™) on different types of surgical wounds treated in one Secondary Care Hospital in Ireland. It is easy to use and is self-operated by patients. It was trialled on three patients, was well tolerated, resulting in early mobility and return to daily activities, along with rapid recovery. There was no non-compliance or adverse effects to surrounding skin. The recovery time ranged from 2-3 weeks. The use of this device positively affected the clinical outcome and resulted in early discharge from hospital, quicker recovery and early return to daily activities.

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Section: Discussionmentioning

confidence: 90%

Innovation in wound management with disposable, portable, cost-effective and non-powered NPWT device: Experience in general surgery

Bashir¹,

Ulain²,

O’Brien³

et al. 2017

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“…Indeed there appears to be only one other trial (Morris, 1973) of wound drainage methods available and this was concerned with radical rather than simple mastectomy. Silvis et al (1955) reported excellent results in a consecutive series of radical mastectomies where suction drains had been used, and both Raffel (1952) 'and Sanders and Kinnaird (1958) reported and advocated the technique of suction drainage after radical mastectomy but gave minimal data to support their conclusions. Thoren (1964), in a consecutive study, found that suction drains were better than non-suction drains after radical mastectomy.…”

Section: Discussionmentioning

confidence: 99%

“…It is acknowledged that breast bandaging may be criticized as unnecessary in the suction drainage group (Silvis et al, 1955;Thoren, 1964). It could be suggested that bandaging was an important factor in keeping the complication rate low and equal and that the drains only affected the management of the dressings.…”

Section: Discussionmentioning

confidence: 99%

A comparison between suction and corrugated drainage after simple mastectomy: A report of a controlled trial

Bourke

Balfour

Hardcastle

et al. 1976

Journal of British Surgery

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A randomized prospective trial of closed suction wound drainage compared with corrugated wound drainage after simple mastectomy for early breast cancer (lesion confined to the breast and without skin ulceration) is reported. Fifty-one patients were admitted to the study and there was no difference between the two groups with respect to local complications such as ifection, skin necrosis and collection under flaps and wound healing. Dressings require to be performed significantly less frequently with suction as opposed to corrugated drainage and suction drains were removed significantly sooner than corrugated drains. It is concluded that closed suction wound drainage should be used after simple mastectomy.

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“…In order to avoid these distressing com¬ plications, Raffi,11 in and perineal surgery, orthopedic procedures, and other extensive dissective wounds. '2,4"8' 10,12,13 Continuous closed suction is particularly applicable to surgery of the head and neck, where the uneven anatomical configuration, the presence of soft vital structures and the tendency for constant motion make the ap¬ plication of prolonged even pressure by bulky dressings difficult, distressing and sometimes dangerous. Additional complica¬ tions result from the presence of a tracheostomy and the collection of salivary and mucous secretions after extensive operative procedures.…”

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confidence: 99%