Paul J Kim1, Christopher E Attinger, John S Steinberg, Karen K Evans, Burkhard Lehner, Christian Willy, Larry Lavery, Tom Wolvos, Dennis Orgill, William Ennis, John Lantis, Allen Gabriel, Gregory Schultz. 1. Washington, D.C.; Heidelberg and Berlin, Germany; Dallas, Texas; Scottsdale, Ariz.; Boston, Mass.; Chicago, Ill.; New York, N.Y.; Vancouver, Wash.; Gainesville, Fla. From the Department of Plastic Surgery, Georgetown University Hospital; the Orthopedic and Trauma Clinic, Heidelberg University; Department of Trauma Senior Surgery and Orthopedics, Reconstructive, Septic, and Hand Surgery, Military Hospital Berlin; the Department of Plastic Surgery, University of Texas Southwestern; the Division of General Surgery, Scottsdale Healthcare Osborn Medical Center; the Department of Surgery, Harvard Medical School; the Department of Clinical Surgery, University of Illinois at Chicago; the Department of Surgery, Columbia University; the Department of Plastic and Maxillofacial Surgery, Southwest Washington Medical Center; and the Department of Wound Research, University of Florida.
Abstract
BACKGROUND: Negative-pressure wound therapy with instillation is increasingly utilized as an adjunct therapy for a wide variety of wounds. Despite its growing popularity, there is a paucity of evidence and lack of guidance to provide effective use of this therapy. METHODS: A panel of experts was convened to provide guidance regarding the appropriate use of negative-pressure wound therapy with instillation. A face-to-face meeting was held where the available evidence was discussed and individual clinical experience with this therapy was shared. Follow-up communication among the panelists continued until consensus was achieved. The final consensus recommendations were derived through more than 80 percent agreement among the panelists. RESULTS: Nine consensus statements were generated that address the appropriate use of negative-pressure wound therapy with instillation. The question of clinical effectiveness of this therapy was not directly addressed by the consensus panel. CONCLUSION: This document serves as preliminary guidelines until more robust evidence emerges that will support or modify these consensus recommendations.
BACKGROUND: Negative-pressure wound therapy with instillation is increasingly utilized as an adjunct therapy for a wide variety of wounds. Despite its growing popularity, there is a paucity of evidence and lack of guidance to provide effective use of this therapy. METHODS: A panel of experts was convened to provide guidance regarding the appropriate use of negative-pressure wound therapy with instillation. A face-to-face meeting was held where the available evidence was discussed and individual clinical experience with this therapy was shared. Follow-up communication among the panelists continued until consensus was achieved. The final consensus recommendations were derived through more than 80 percent agreement among the panelists. RESULTS: Nine consensus statements were generated that address the appropriate use of negative-pressure wound therapy with instillation. The question of clinical effectiveness of this therapy was not directly addressed by the consensus panel. CONCLUSION: This document serves as preliminary guidelines until more robust evidence emerges that will support or modify these consensus recommendations.
Authors: Stephen S Cai; Arvind U Gowda; Richard H Alexander; Ronald P Silverman; Nelson H Goldberg; Yvonne M Rasko Journal: Int Wound J Date: 2016-10-03 Impact factor: 3.315
Authors: Shadi Lalezari; Christine J Lee; Anna A Borovikova; Derek A Banyard; Keyianoosh Z Paydar; Garrett A Wirth; Alan D Widgerow Journal: Int Wound J Date: 2016-09-29 Impact factor: 3.315
Authors: Aruna Wijewardena; Sepehr S Lajevardi; Elle Vandervord; John Vandervord; Thomas C Lang; Gregory Fulcher; Christopher J Jackson Journal: Int Wound J Date: 2014-09-03 Impact factor: 3.315