Abstract
Negative pressure wound therapy (NPWT) is now widely used for treating skin ulcers. However, it should not be applied to ulcers with apparent bacterial infections. In addition, application for more than four weeks is prohibited. In this study, we treated four patients with severe ulcers complicated by bacterial infections with IW-CONPIT (intra-wound continuous negative pressure and irrigation treatment); a combination therapy of NPWT and continuous irrigation. IW-COMPIT successfully treated decubitus and diabetic ulcers. Moreover, it greatly improved subcutaneous pockets and bacterial infections. IW-CONPIT seems to be an effective therapeutic option for treatment-resistant ulcers with subcutaneous pockets and infections.Skin Research, 16: 139-145, 2017