title: Negative pressure wound therapy combined with acoustic pressure wound therapy for infected post surgery wounds: a case series.
abstract: Acute infection of surgical incision sites often requires specialized wound care in preparation for surgical closure. Optimal therapy for preparing such wounds for a secondary closure procedure remains uncertain. The authors report wound outcomes after administering acoustic pressure wound therapy in conjunction with negative pressure wound therapy with reticulated open-cell foam dressing changes to assist with bacteria removal from open, infected surgical-incision sites in preparation for secondary surgical closure in three patients. Before incorporating acoustic pressure wound therapy at the authors' facility, the average negative pressure wound therapy with reticulated open-cell foam dressing course prior to secondary surgical closure was 30 days; with its addition, two of three patients underwent successful surgical closure with no postoperative complications after 21 and 14 days, respectively; one patient succumbed to nonwound-related complications before wound closure. Larger, prospective studies are needed to evaluate combining negative pressure wound therapy with reticulated open-cell foam dressing and acoustic pressure wound therapy for infected, acute post surgery wounds.
authors.affiliation: Specialty Hospital of Washington Capitol Hill, Washington, DC, USA.
authors.forename: Melania
authors.initials: M
authors.lastname: Howell-Taylor
authors.forename: Macy G
authors.initials: MG
authors.lastname: Hall
authors.forename: William J
authors.initials: WJ
authors.lastname: Brownlee Iii
authors.forename: Mary
authors.initials: M
authors.lastname: Taylor
mesh_terms: D000162:Acoustics; D000368:Aged; D001458:Bandages; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011312:Pressure; D013530:Surgical Wound Infection / Q000628:therapy*