Use of compression therapy to reduce edema on patients with complex chronic leg ulcers can be challenging or contraindicated. Negative Pressure Wound Therapy (NPWT) circumferential dressing may be an option for complex cases.

Negative pressure wound therapy (NPWT) has the potential to expedite healing and may be applied in many clinical situations, but achieving and maintaining a reliable, occlusive seal is requisite to realize benefit and mitigate cost, regardless of NPWT type. This topic illustrates a new method to achieve effective seal of an open abdomen NPWT dressing on a highly exudative deepithelialized periwound lacking any dry tissue to apply adhesive drape.