title: The Use of NPWT-i Technology in Complex Surgical Wounds.
abstract: Advanced wound management of complex surgical wounds remains a significant challenge as more patients are being hospitalized with infected wounds. Reducing recurrent infections and promoting granulation tissue formation is essential to overall wound healing. Wounds with acute infection and critical colonization require advanced multimodal approaches including systemic antibiotics, surgical debridement, and primary wound care. The goal in surgical wound management is to optimize clinical outcomes such as time to wound closure and functional recovery. A review of current literature suggests that negative pressure wound therapy with instillation (NPWT-i) is a viable adjunct therapy in the management of infected wounds especially in patients with medical comorbidities. The aim of this case series is to highlight the ability of NPWT-i as adjunct to prepare the wound bed for closure on infected surgical wounds that would normally require multiple operations to obtain source control.
authors.affiliation: Surgery, Houston Methodist Hospital.
authors.forename: Paula
authors.initials: P
authors.lastname: Rupert
authors.affiliation: Surgery, Houston Methodist Hospital.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Ochoa
authors.affiliation: Surgery, Houston Methodist Hospital.
authors.forename: Laurie
authors.initials: L
authors.lastname: Punch
authors.affiliation: Surgery, Houston Methodist Hospital.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Van Epps
authors.affiliation: Surgery, Houston Methodist Hospital.
authors.forename: Sherilyn
authors.initials: S
authors.lastname: Gordon-Burroughs
authors.affiliation: Surgery, Houston Methodist Hospital.
authors.forename: Sylvia
authors.initials: S
authors.lastname: Martinez
keywords: complex wounds; negative pressure wound therapy with instillation; surgical wounds; wound care