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KMID : 0853020160190010001
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Journal of Korean Burn Society
2016 Volume.19 No. 1 p.1 ~ p.5
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Usefulness of Negative Pressure Wound Therapy (NPWT) in Burn Center
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An Sung-Bak
Kim Yonng-Min
Yoon Jae-Chul
Yang Hyeong-Tae
Yim Hae-Jun
Cho Yong-Suk
Kim Do-Hern
Hur Jun
Chun Wook
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Abstract
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Purpose: Negative pressure wound therapy (NPWT) is an adjunct therapy using negative pressure to remove fluid from open wounds through a sealed dressing and a specialized tubing that is connected to a collection container. NPWT is suitable for acute and chronic wound condition because it was designed to accelerate granulation formation on deep wound. Therefore, we performed this study to assess the ef-fectiveness of NPWT for various wound condition in burn center.
Methods: We enrolled 17 patients who were treated with NPWT from January 2014 to April 2016. We analyzed the characteristics and outcomes of the patients through retrospectively.
Results: Among 17 patients, there were 13 patients for con-tact burn, 2 patients for electrical injury, 1 patient for diabetic foot ulcer and 1 patient for Flame burn. Most of the contact burn victims were injured by the exposure of relatively low temperature for a long time and some of them were injured under the condition of sensory deterioration including spinal cord injury, diabetes or sedatives. Wound coverage was ac-complished by split thickness skin graft (STSG) in 12 patients. Local flap was done in 1 patient. STSG with local flap was done in 3 patients. And there were 1 patient who got a conservative management. The duration of NPWT applica-tion was from 8 days to 101 days (average 36.2 days).
Conclusion: NPWT showed good clinical outcomes under various wound condition. Therefore, we think that it can be a new treatment paradigm for difficult wound management in burn center.
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KEYWORD
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Negative-pressure wound therapy, Burn, Wound healing
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