A Case Review of Necrotizing Soft Tissue Infection of the Abdomen Utilizing Negative Pressure Wound Therapy with Instillation and Novel Reticulated Open Cell Foam Dressing.

Necrotizing soft tissue infection is a rapidly spreading bacterial infection that can quickly destroy a person's muscles, skin, and underlying tissue. In this retrospect chart review, we will look at how the utilization of negative pressure wound therapy with instillation and dwell (NPWTi-d) and novel reticulated open cell foam (ROCF-CC) assisted with the healing of a patient's wound along with decreasing the time spent in the operating room. NPWTi-d provided the benefits of wound healing such as solubilizing the infectious material and removing the devitalized tissue. Using this form of treatment, we were able to improve the patient's quality of life and decrease her time in the hospital.

A Case Review of Wound Bed Preparation in an Infected Venous Leg Ulcer Utilizing Novel Reticulated Open Cell Foam Dressing with Through Holes during Negative Pressure Wound Therapy with Instillation.

Chronic venous insufficiency (CVI) and venous leg ulcers (VLUs) have major financial implications for patients and healthcare professionals. VLUs, in particular, require significant care, can be slow to heal, and have a high rate of recurrence. These factors combine to make VLUs a major burden on the healthcare system. Recent estimates show that the cost of treatment of VLUs per patient in the United States is $10,000 to $12,000 per year, with the average lifetime cost of care greater than $40,000. Infected VLUs often require surgical debridement for the removal of bacterial burden and biofilm. The use of negative pressure wound therapy with instillation and dwell (NPWTi-d) has shown to decrease OR visits, length of hospitalization, and therapy days in lower extremity and trunk wounds. In 2017, a novel reticulated open cell foam dressing with through holes (ROCF-CC) was introduced as a dressing option with NPWTi-d. ROCF-CC assists in removing thick wound exudate and infectious materials. This dressing option is especially helpful for wound cleansing when debridement is not possible or appropriate in patients.

The Use of Negative Pressure with Instillation and Dwell for the Treatment of Necrotizing Fasciitis.

The human body is a complex, multisystem organism that can manifest disease processes in a multitude of ways. Over the decades, technological advancements have allowed us to make precise diagnoses so that clinicians can thoroughly treat the underlying cause. Frequently these disease processes require surgical intervention to eliminate the progression and provide the patient with positive outcomes. When surgical intervention is required, the patient is often left with large complex wounds. Just like medical advancements, wound care modalities have made vast technological improvements. Wounds previously being treated with simple but labor-intensive treatments such as gauze packings and return operating room interventions, can now be treated with negative pressure wound therapy combined with instillation and dwell (NPWTi-d). This therapy combines the benefits of negative pressure while cleansing the wound through the instillation of a topical wound cleanser in a controlled environment. In this case review, we will highlight a case of necrotizing fasciitis in which surgical intervention was required and negative pressure wound therapy with instillation and the use of reticulated open cell foam dressing with through holes (ROCF-CC) was utilized. Negative pressure with instillation was used to remove infectious material and other nonviable tissue from the wound base while promoting granulation tissue production. By utilizing this treatment, we were able to decrease the patient's return trips to the operating room (OR), enhance granulation tissue production, and ultimately achieve positive patient outcomes.