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A Journal on Physiopathology and Therapy of Chronic Cutaneous Ulcers
Official Journal of the Italian Association for Cutaneous Ulcers
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Acta Vulnologica 2010 September;8(3):129-34
Evaluation of topical negative pressure wound therapy efficacy with filler gauze for the treatment of skin ulcers in home care assistance
Petrella F. 1, Ciliberti M. 2, Tafuro F. 3, Serra G. 4, Ponte V. 2, Anzalone F. 2, De Lara F. 2, Solimeno T. 2, Nebbioso G. 5, De Martino G. 6
1 ASL Napoli 1, Distretto Sanitario 34, Centro di Riferimento Territoriale per la Cura delle Ulcere Cutanee, Napoli, Italia;
2 ASL Napoli 3 Sud, Distretto Sanitario 56, Centro di Riferimento Aziendale per la Cura delle Ulcere Cutanee, Napoli, Italia;
3 ASL Napoli 3 Sud, Distretto Sanitario 54, Centro di Riferimento Territoriale per la Cura delle Ulcere Cutanee, Napoli, Italia;
4 ASL Napoli 3 Sud, Distretto Sanitario 59, Centro di Riferimento Territoriale per la Cura delle Ulcere Cutanee, Napoli, Italia;
5 ASL Napoli 1 Centro, Distretto Sanitario 33, Ambulatorio per la Cura delle Ulcere Cutanee, Napoli, Italia;
6 ASL Napoli 3 Sud, Dipartimento Aziendale di Geriatria, Napoli, Italia
Aim. Topical negative pressure wound therapy (NPWT) acts in such a way as to remove obstacles to healing and stimulates both responses specific to the process of tissue repair. These actions are possible through the implementation of a pressure gradient which is determined in a closed system and applying sub-atmospheric pressure at the bottom of the lesion. There do not seem that the use of different fillers and low negative pressure <120 mmHg make some difference. The aim of this study was to determine the effectiveness of topical NPWT with filler gauze in the treatment of skin ulcers, through the evaluation of goals in complex treatment programs, patients in home care.
Methods. For the study we selected 20 patients already treated at home. Duration of the observation period was 28 days. Monitoring of therapy by filling forms of clinical assessment and scoring system boards pushtool 3.
Results. The objectives have been achieved in significant percentages.
Conclusion. Therefore, this therapy is a valuable one, even within a more complex therapeutic procedure.