Combined use of progressive tension suture and negative pressure wound therapy in large torso degloving wounds.

J Wound Care

Professor of General and Trauma Surgery, Pontifícia Universidade Católica de São Paulo, Campus Sorocaba, Brazil.

Published: April 2022

AI Article Synopsis

  • The study showcases the effectiveness of combining progressive tension sutures (PTS) with negative pressure wound therapy (NPWT) in treating large torso degloving wounds.
  • Two patients with severe trauma-related wounds were treated using this method, highlighting significant wound area reductions within short timeframes.
  • The results showed impressive healing rates, with one patient experiencing a 94% reduction in wound size and the other a 99% reduction, indicating that this combined approach could improve recovery outcomes in similar injuries.

Article Abstract

Objective: To demonstrate the associated use of progressive tension sutures (PTS) with negative pressure wound therapy (NPWT) in large torso degloving wounds.

Methods: This is a case report of two patients with large torso degloving wounds caused by trauma, both of whom were treated with combined PTS and NPWT. Statistics related to wound treatment responses are presented.

Results: Initial wound area for Patient 1 was 2400cm and 900cm for Patient 2. Within 21 and 12 days, respectively, using the combined method, the following data were observed: wound reduction of 94% and 99%, respectively; a closing speed rate of 98cm/day and 75cm/day, respectively; and a closing percentage of 4.45% per day and 8.25% per day, respectively.

Conclusion: The use of combined PTS and NPWT techniques may be useful in the treatment of traumatic degloving injuries, reducing the wound area and facilitating reconstruction.

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Source
http://dx.doi.org/10.12968/jowc.2022.31.4.304DOI Listing

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