کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3222563 | 1587927 | 2014 | 4 صفحه PDF | دانلود رایگان |
BackgroundNegative pressure wound therapy (NPWT) has advanced the management of the open abdomen and other wounds. However, using the correct wound filler is essential as the material needs to convey a heterogeneous pressure distribution and create the pressure gradients required to drain interstitial fluid and remove wound exudate. This study compared the differences in fluid distribution during NPWT using a large-pore PU-foam dressing (Suprasorb® CNP foam), drainage film (Suprasorb® CNP drainage film) and a specialized NPT dressing system (KCI ABThera™ NPT system) in vitro.MethodsA tissue model was prepared from gelatine, powdered milk, and tissue marking dye. Each filler/dressing was placed on a tissue model which was connected to a fluid reservoir, linked to a TRAC™ Pad and sealed. The TRAC™ Pad was connected to a vacuum pump set to −120 mmHg for 8 h. An infra-red camera was used to record fluid transport in the dressings.ResultsAll fillers/dressings exhibited a fast fluid distribution and transport during the first hour (gradients 0.97–1.31) and steady state was reached after approximately 160 min. The NPT dressing system demonstrated a distribution limited to 70%, while the PU-foam and the drainage film presented a uniform and complete dispersal of fluid.ConclusionThe results demonstrate that using an appropriate filler/dressing can facilitate effective wound fluid transport and drainage of interstitial fluid by producing heterogeneous pressures at the wound bed.
Journal: Wound Medicine - Volume 6, September 2014, Pages 22–25