Wound bed preparation with NPWT in diabetic foot ulcers: case report
© Sorrentino et al; licensee BioMed Central Ltd. 2010
Published: 19 May 2010
Negative Pressure Wound Therapy (NPWT) is primarily used for very complex chronic wounds. The surgical treatment of the diabetic wounds with loss of soft tissue usually consists of closure using split-thickness skin grafts or transposition flaps. However, the first step consists of standard wound care with moist gauze dressing with the aim to prepare the wound bed for final closure. Clinical and experimental studies reported that negative pressure increases local blood flow and decreases bacterial colonization. Localized negative pressure removes fluids from the wound and promotes the granulation tissue, which is required for wound closure.
Materials and methods
NPWT achieved a faster granulating wound bed in order to prepare it for surgical closure technique.
NPWT reduces wound surface area by the traction force of negative pressure which increases mitosis of tissue around the wound.
Faster wound healing during the treatment of diabetic foot ulcers may decrease hospital stay and prevent extensive surgery for wound closure. NPWT can improve therapeutic results, major amputations being avoided.
This article is published under license to BioMed Central Ltd.