Publications by authors named "Bounthavy Homsombath"
Purpose: The purpose of this study was to determine whether a single-use negative pressure wound therapy (NPWT) system achieves individualized goals of therapy when used to treat patients with a variety of wound types.
Design: Multiple case series.
Subjects And Setting: The same comprised 25 participants; their mean age was 51.
Background: NPWT is widely used to manage hard-to-heal wounds, and many different devices are available. Personal-use NPWT systems are becoming more popular, although current options have limited functionality.
Purpose: The primary objective was to determine acceptable progress of wounds towards a predefined goal of therapy for a variety of open wounds being treated with a novel NPWT personal-use system with enhanced functionality.
Severe burns on the posterior trunk present a treatment challenge in that these surfaces bear the major portion of body weight, with shearing forces exerted when changing the patient from supine to prone position. In their high-volume center at Burn and Reconstructive Centers of America, the authors developed protocols for use of cultured epidermal autografts (CEAs) for coverage of large burns, including those specific to posterior burns. This paper describes techniques and approaches, including milestone timelines, to treat and manage these patients.
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- Complex wounds with exposed tissues present significant treatment challenges, as they are prone to infection and require rapid granulation for healing.
- A pilot study evaluated the effectiveness of a cryopreserved umbilical tissue graft (vCUT) on 10 wounds from 8 patients, finding that 80% achieved complete granulation and 30% achieved full closure within 4 weeks post-application.
- The results indicate that vCUT, along with standard care, could be an effective treatment option for difficult acute and chronic lower extremity wounds.