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Negative pressure wound therapy with instillation: past, present, and future
Surgical Technology International
|September 18, 2015
Summary
Negative pressure wound therapy with instillation (NPWTi) combines negative pressure with solution instillation to aid wound healing. Emerging evidence supports NPWTi for infected wounds, though optimal use requires further study.
Area of Science:
- Wound healing and regenerative medicine
Background:
- Negative Pressure Wound Therapy (NPWT) is a standard treatment for promoting granulation tissue.
- Evidence for NPWT in infected wounds, particularly those with biofilm, is limited.
Observation:
- Negative Pressure Wound Therapy with Instillation (NPWTi) integrates negative pressure with intermittent solution instillation.
- NPWTi has been available for over a decade but adoption has been slow.
- Recent studies show promise for NPWTi in managing infected wounds.
Findings:
- NPWTi may expedite infection clearance and wound closure in challenging wounds.
- Optimal NPWTi protocols, including solution choice and device settings, are still under investigation.
- Emerging evidence from animal and human studies supports NPWTi's utility.
Implications:
- NPWTi represents a novel approach for complex wound management.
- Further research is needed to refine NPWTi techniques and enhance clinical adoption.
- This therapy has the potential to improve outcomes for patients with infected wounds.
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