Abstract
Chronic wounds present a significant challenge, because there are few available treatment options for timely healing. Topical negative pressure devices have been used in a number of different types of wounds, including chronic wounds. They are believed to hasten wound healing by (1) maintaining a moist environment, (2) removing wound exudates, (3) increasing local blood flow, (4) increasing granulation tissue formation, (5) applying mechanical pressure to promote wound closure, and (6) reducing bacterial loads in the wound. Multiple nonrandomized, noncontrolled studies have reported that the use of these devices results in faster healing times and more successful closures. Five small randomized, controlled trials have also shown favorable outcomes with the use of topical negative pressure devices compared with conventional treatment. Adverse effects include discomfort, pain, and excessive tissue growth into the dressing. Complications are limited if the device is used properly. In light of the current treatment options, topical negative pressure devices may be considered useful as adjuvant therapy for chronic wounds; however, there is inadequate definitive evidence that wound healing is substantially better with these devices than with traditional therapy.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1449-1453 |
| Number of pages | 5 |
| Journal | Archives of Dermatology |
| Volume | 141 |
| Issue number | 11 |
| DOIs | |
| State | Published - Nov 2005 |
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ASJC Scopus subject areas
- Dermatology
Cite this
Topical negative pressure devices : Use for enhancement of healing chronic wounds. / Shirakawa, Miki; Isseroff, Roslyn Rivkah.
In: Archives of Dermatology, Vol. 141, No. 11, 11.2005, p. 1449-1453.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Topical negative pressure devices
T2 - Use for enhancement of healing chronic wounds
AU - Shirakawa, Miki
AU - Isseroff, Roslyn Rivkah
PY - 2005/11
Y1 - 2005/11
N2 - Chronic wounds present a significant challenge, because there are few available treatment options for timely healing. Topical negative pressure devices have been used in a number of different types of wounds, including chronic wounds. They are believed to hasten wound healing by (1) maintaining a moist environment, (2) removing wound exudates, (3) increasing local blood flow, (4) increasing granulation tissue formation, (5) applying mechanical pressure to promote wound closure, and (6) reducing bacterial loads in the wound. Multiple nonrandomized, noncontrolled studies have reported that the use of these devices results in faster healing times and more successful closures. Five small randomized, controlled trials have also shown favorable outcomes with the use of topical negative pressure devices compared with conventional treatment. Adverse effects include discomfort, pain, and excessive tissue growth into the dressing. Complications are limited if the device is used properly. In light of the current treatment options, topical negative pressure devices may be considered useful as adjuvant therapy for chronic wounds; however, there is inadequate definitive evidence that wound healing is substantially better with these devices than with traditional therapy.
AB - Chronic wounds present a significant challenge, because there are few available treatment options for timely healing. Topical negative pressure devices have been used in a number of different types of wounds, including chronic wounds. They are believed to hasten wound healing by (1) maintaining a moist environment, (2) removing wound exudates, (3) increasing local blood flow, (4) increasing granulation tissue formation, (5) applying mechanical pressure to promote wound closure, and (6) reducing bacterial loads in the wound. Multiple nonrandomized, noncontrolled studies have reported that the use of these devices results in faster healing times and more successful closures. Five small randomized, controlled trials have also shown favorable outcomes with the use of topical negative pressure devices compared with conventional treatment. Adverse effects include discomfort, pain, and excessive tissue growth into the dressing. Complications are limited if the device is used properly. In light of the current treatment options, topical negative pressure devices may be considered useful as adjuvant therapy for chronic wounds; however, there is inadequate definitive evidence that wound healing is substantially better with these devices than with traditional therapy.
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U2 - 10.1001/archderm.141.11.1449
DO - 10.1001/archderm.141.11.1449
M3 - Article
C2 - 16301393
AN - SCOPUS:27944442488
VL - 141
SP - 1449
EP - 1453
JO - JAMA Dermatology
JF - JAMA Dermatology
SN - 2168-6068
IS - 11
ER -