Identification of barriers and benefits of Negative Pressure Wound Therapy



Year of publication 2022
Type Article in Periodical
Magazine / Source Česká a slovenská neurologie a neurochirurgie
MU Faculty or unit

Faculty of Medicine

Keywords vacuum therapy; benefits; negative pressure wound therapy; barriers; retrospective analysis
Description Aim: This study aimed to identify barriers and benefits of negative pressure wound therapy (NPWT) in patients at the Department of Surgery of the University Hospital Brno over a five-year period (2017–2021). Methods: Retrospective, observational descriptive study of data from hospital records of patients at the Department of Surgery of the University Hospital Brno. Results: A total of 104 patients who were treated with NPWT were identified in the survey. The mean age of the patients was 66.7 years (Min. age 27, Max. age 93). The mean length of hospitalization was 30.2 days (Min. 6, Max. 145 days) and the mean length of NPWT was 20.6 days (Min. 4, Max. 76 days). In total, 31 patients (29.8%) had the same duration of hospitalization and NPWT application and 27 patients (26%) were simultaneously under a barrier regime. The etiology of the wounds was variable. A gastrointestinal disease in 63.4% (N = 66) of patients, vascular problems in 33.7% (N = 35) and pressure ulcers in 2.9% (N = 3). The frequency of wound swabbing was 4 to 6 days and wound dressing (NPWT) exchange was performed in intervals from 3 to 5 days. The VIVANOTec Pro® device was used in all patients. Conclusion: A retrospective analysis over a five-year period showed that NPWT is routinely used in wounds of various etiologies, mostly in polymorbid patients of older age. No adverse effects associated with the use of NPWT were documented in the study group.
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