Sosyo
Online ISSN : 1884-880X
ISSN-L : 1884-880X
Feature Article 3 : Considerations for an Indication of Negative Pressure Wound Therapy
The Indication of Negative Pressure Wound Therapy for Venous Ulcers
Tomoya SatoShigeru Ichioka
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JOURNAL FREE ACCESS

2014 Volume 5 Issue 4 Pages 175-180

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Abstract
 The standard therapies for venous ulcers and venous insufficiency consist of compression bandages and surgical operations, respectively. However, these procedures are frequently unsuccessful for the closing of venous ulcers. Negative-pressure wound therapy promotes healing by applying compression at subatmospheric pressure to the wound. Here, we discuss the indications of negative-pressure wound therapy for venous ulcers.
 The treatment course was as follows: the wounds were surgically debrided, and the patients underwent negative-pressure wound therapy for three weeks. Then, the patients underwent skin grafting. Complete healing of the venous ulcers was observed within two weeks after the skin graft in most cases.
 Venous leg ulcers affect a significant proportion of the population. The most popular treatment used for their management is compression bandage therapy; however, is frequently unsuccessful in healing venous leg ulcers. Therefore, adjunctive treatment for local wound care should be considered in such patients. According to our experience, venous leg ulcers developed healthy granulation tissue because of negative-pressure wound therapy. All wounds were then successfully closed using skin grafts. Negative-pressure wound therapy can be an effective adjunctive treatment option for severe venous leg ulcers.
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© 2014 Japan Society for Surgical Wound Care
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