To obtain convincing evidence, we call for greater NPWT application in a research context. In this manuscript, we describe the mechanisms and applications of NPWT for surgical wounds and existing evidence for NPWT in cardiac, plastic, and general surgery, followed by a discussion of the emerging evidence base for NPWT in spinal. The effect of NPWT on wound healing, infection, mortality, and costs remains unclear. Negative pressure wound therapy (NPWT) has demonstrated promise in the management of surgical site infections as well as assisting in surgical wound healing.
#Surgery negative pressure wound therapy skin
Possible disadvantages of NPWT are skin irritation, painful dressing changes, entero-atmospheric fistulae, and the risk of bleeding in patients using anticoagulants. For traumatic extremity wounds, NPWT can be helpful as a practical temporary wound cover. NPWT also appears useful if primary closure of the abdomen is not possible. NPWT can be applied to thoracic wounds (usually due to deep sternal wound infections) to reduce treatment duration. Although there is plenty of literature available, very little convincing evidence exists based on well-conducted, randomised trials. The NPWT applications are, however, running ahead of scientific evidence to. The NPWT applications are, however, running ahead of scientific evidence to support their use. In surgery, negative pressure wound therapy (NPWT) is applied for thoracic, abdominal, and extremity wounds, particularly if there is traumatic tissue loss, if primary wound closure is not possible or if the wound has to be left open or reopened because of an infection. In surgery, negative pressure wound therapy (NPWT) is applied for thoracic, abdominal, and extremity wounds, particularly if there is traumatic tissue loss, if primary wound closure is not possible or if the wound has to be left open or reopened because of an infection.
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