Shah A, Lopez R, Pallikaras G, Jandali S, Pfaff MJ, Tereb D, et al.
British journal of community nursing. Date of publication 2013 Jun 1;volume Suppl():S22-5.
1. Br J Community Nurs. 2013 Jun;Suppl:S22-5.
Use of the ostomy baseplate in negative pressure wound therapy.
Shah A(1), Lopez R, Pallikaras G, Jandali S, Pfaff MJ, Tereb D.
Author information:
(1)Section of Plastic and Reconstructive Surgery, Yale University School of
Medicine, USA. Ajul.shah@yale.edu
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.
PMID: 24156168 [Indexed for MEDLINE]
