title: Negative Pressure Wound Therapy with Instillation in a Chronic Non-Healing Right Hip Trochanteric Pressure Ulcer.
abstract: Complex pressure ulcer wound sites often present with a wide scope of barriers to healing ranging from high colonization of multi-drug-resistant pathogens to tortuous internal anatomy which make the wound recalcitrant to traditional wound care including standard negative pressure wound therapy (NPWT). Negative pressure wound therapy with instillation (NPWTi-d) provides an opportunity to manage and heal wounds with indications not met by standard NPWT such as cavitating wounds with complex undermining and tunneling. In this clinical case report, a patient who presented with a chronic, non-healing Stage IV pressure ulcer underwent a tensor fascia lata flap reconstruction that was complicated by a partial flap-tip nonadherence with associated partial dehiscence of the flap incision that proved unresolvable until application of adjunctive NPWTi-d which allowed the wound to experience a robust rate of granulation, contraction, and closure.
authors.affiliation: Section of Plastic Surgery VA Healthcare - San Diego, Division of Plastic Surgery University of California San Diego.
authors.forename: Kevin W
authors.initials: KW
authors.lastname: Broder
authors.affiliation: School of Medicine, University of California, San DIego.
authors.forename: Brian
authors.initials: B
authors.lastname: Nguyen
authors.affiliation: Section of Plastic Surgery VA Healthcare - San Diego, Division of Plastic Surgery University of California San Diego.
authors.forename: Richard M
authors.initials: RM
authors.lastname: Bodor
keywords: flap reconstruction; negative pressure wound therapy with instillation; npwt; npwt with instillation; npwti-d; plastic surgery; pressure sores; pressure ulcers; technology; wound care