title: Use of the ostomy baseplate in negative pressure wound therapy.
abstract: The advent of the negative pressure wound therapy (NPWT) has been a significant advancement in wound-healing practices. However, as the therapy has gained popularity and increased usage in all areas of the body, obstacles have arisen. In certain areas of the body, namely those with crevices and folds, or an abundance of apocrine glands, the application of NPWT can be problematic. This study presents a novel technique for the application of the NPWT in the treatment of wounds in areas difficult to achieve an appropriate vacuum seal. This method eliminates the traditional problems encountered when applying the NPWT to areas with clefts and folds by utilising an ostomy baseplate to provide a more secure and accessible surface area. The patient is an 84-year-old male with a category IV sacral decubitus ulcer. Traditional methods of NPWT application initially proved inadequate due to difficulty sustaining negative pressure; however, subsequent use of an ostomy baseplate with NPWT successfully secured a seal and allowed for wound healing. Our technique allows for the preservation of a proper seal near clefted areas, provides ease of application, reduces the burden of dressing changes and reduces cost, benefiting both the patient and health care providers.
authors.affiliation: Section of Plastic and Reconstructive Surgery, Yale University School of Medicine, USA. Ajul.shah@yale.edu
authors.forename: Ajul
authors.initials: A
authors.lastname: Shah
authors.forename: Raquel
authors.initials: R
authors.lastname: Lopez
authors.forename: George
authors.initials: G
authors.lastname: Pallikaras
authors.forename: Shareef
authors.initials: S
authors.lastname: Jandali
authors.forename: Miles J
authors.initials: MJ
authors.lastname: Pfaff
authors.forename: Denis
authors.initials: D
authors.lastname: Tereb
mesh_terms: D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D054843:Negative-Pressure Wound Therapy / Q000295:instrumentation* / Q000379:methods*; D009779:Occlusive Dressings; D010030:Ostomy / Q000295:instrumentation*; D003668:Pressure Ulcer / Q000628:therapy*; D012445:Sacrococcygeal Region