title: Applying negative pressure therapy to deep pressure ulcers covered by soft necrotic tissue.
abstract: Negative pressure therapy was applied to 39 deep pressure ulcers covered by soft necrotic tissue. All of the wounds were so deep that there were bones or ligaments just beneath the soft necrotic tissue. They had already received several types of conservative therapy including a necrotomy for periods ranging from 1 to 72 months. The wounds were minimally debrided and put in an adequately wet environment with negative pressure. This environment was established by the application of a suction-dressing. All of these wounds showed clear wound beds within only 1 month. All of the wounds were successfully cured, either with or without a musculocutaneous flap. Negative pressure wound therapy is thus considered to be one of the choices for the management of non healing deep pressure ulcers covered by soft necrotic tissue.
authors.affiliation: Department of Vascular Surgery, Kanoiwa Hospital, Yamanashi City, Yamanashi, Japan. mitsu88@mx5.nns.ne.jp
authors.forename: Mitsuyuki
authors.initials: M
authors.lastname: Nakayama
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001458:Bandages; D002908:Chronic Disease; D003646:Debridement / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D009336:Necrosis; D054843:Negative-Pressure Wound Therapy / Q000295:instrumentation / Q000379:methods*; D003668:Pressure Ulcer / Q000145:classification / Q000473:pathology* / Q000628:therapy*; D012720:Severity of Illness Index; D017592:Skin Care / Q000379:methods; D013524:Surgical Flaps; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing
references.citation: Ann Plast Surg. 2004 Oct;53(4):338-42
references.pmid: 15385767
references.citation: Wound Repair Regen. 1993 Jul;1(3):181-6
references.pmid: 17163887
references.citation: Curr Opin Cell Biol. 1991 Oct;3(5):841-8
references.pmid: 1931084
references.citation: Ann Plast Surg. 1997 Jun;38(6):553-62
references.pmid: 9188970
references.citation: Ann Plast Surg. 1997 Jun;38(6):563-76; discussion 577
references.pmid: 9188971
references.citation: Mol Biol Cell. 1998 Nov;9(11):3179-93
references.pmid: 9802905
references.citation: Ann Plast Surg. 2001 Nov;47(5):552-4
references.pmid: 11716269
references.citation: Dermatol Nurs. 2007 Aug;19(4):343-9; quiz 350
references.pmid: 17874603
references.citation: Science. 1990 Nov 30;250(4985):1266-9
references.pmid: 2173861
references.citation: Science. 1997 May 30;276(5317):1425-8
references.pmid: 9162012
references.citation: Br J Plast Surg. 1988 Mar;41(2):182-6
references.pmid: 3280056