Hendricks N, Hendricks J, Hoffmann K, Hemprich A, Halama D, et al.
Ostomy/wound management. Date of publication 2014 Aug 1;volume 60(8):40-6.
1. Ostomy Wound Manage. 2014 Aug;60(8):40-6.
Using medical silicone to ensure an airtight negative pressure wound therapy
dressing seal in challenging wounds: a case series.
Hendricks N(1), Hendricks J(1), Hoffmann K(1), Hemprich A(1), Halama D(2).
Author information:
(1)University Hospital Leipzig, Leipzig, Germany.
(2)University Hospital Leipzig, Leipzig, Germany;
email:dirk.halama@medizin.uni-leipzig.de.
Negative pressure wound therapy (NPWT) has been used for a broad range of
indications and wound types. However, it can be difficult to maintain an airtight
dressing seal when the wound is located in an anatomically challenging area or
environment. To address this problem, medical silicone, used to create intraoral
vacuum dressings, was used in five patients (one woman, four men, age range 57 to
66 years) to seal leaking NPWT dressings (four polyurethane dressings and one
polyurethane silver foam dressing). The wounds were located in the head and neck,
abdominal, lower extremity, and anogenital areas. Initial wound sizes ranged from
2.5 cm² to 700 cm², and periwound areas were characterized by irregular surfaces
(scars, skin folds, or curved surfaces), humid milieu, or mobile structures. In
all five patients, negative pressure was set at -125 mm Hg constant suction, and
the silicone was able to seal the leaking dressings. Wound size reductions from
2.5 cm² to 13.5 cm² were observed during 9 to 64 days (range) of NPWT treatment.
In these patients, medical silicone was found to be a suitable material to
facilitate airtight sealing of the dressings used with NPWT.
PMID: 25105477 [Indexed for MEDLINE]
