title: Negative Pressure Wound Therapy With Low Pressure and Gauze Dressings to Treat Diabetic Foot Wounds.
abstract: This study was a prospective cohort study to evaluate negative pressure wound therapy (NPWT) with low pressure and a gauze dressing to treat diabetic foot wounds. Thirty patients with diabetic foot wounds were consented to a prospective study to evaluate wound closure and complications to evaluate NPWT with low pressure (80 mmHg) and a gauze dressing interface (EZCare, Smith and Nephew) for up to 5 weeks. NPWT was changed 3 times a week. Study subjects were evaluated once a week for adverse events and wound measurements. Of study subjects, 43% attained at least a 50% wound area reduction after 4 weeks of therapy. Our results suggest that a high rate of wound closure could be expected with low pressure and a gauze interface.
authors.affiliation: Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas TX, USA larry.lavery@utsouthwestern.edu.
authors.forename: Lawrence A
authors.initials: LA
authors.lastname: Lavery
authors.affiliation: Department of Surgery, Scott and White Hospital, Temple, TX, USA.
authors.forename: Douglas P
authors.initials: DP
authors.lastname: Murdoch
authors.affiliation: Department of Plastic Surgery, Georgetown University, Washington, DC, USA.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Kim
authors.affiliation: Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas TX, USA.
authors.forename: Javier La
authors.initials: JL
authors.lastname: Fontaine
authors.affiliation: Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas TX, USA.
authors.forename: Gaurav
authors.initials: G
authors.lastname: Thakral
authors.affiliation: Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas TX, USA.
authors.forename: Kathryn E
authors.initials: KE
authors.lastname: Davis
keywords: amputation; diabetes; infection; negative pressure; ulceration