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Negative Pressure Wound Therapy With Low Pressure and Gauze Dressings to Treat Diabetic Foot Wounds
Authors:Lawrence A. Lavery  Douglas P. Murdoch  Paul J. Kim  Javier La Fontaine  Gaurav Thakral  Kathryn E. Davis
Affiliation:1Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas TX, USA;2Department of Surgery, Scott and White Hospital, Temple, TX, USA;3Department of Plastic Surgery, Georgetown University, Washington, DC, USA
Abstract:This study was a prospective cohort study to evaluate negative pressure wound therapy (NPWT) with low pressure and a gauze dressing to treat diabetic foot wounds. Thirty patients with diabetic foot wounds were consented to a prospective study to evaluate wound closure and complications to evaluate NPWT with low pressure (80 mmHg) and a gauze dressing interface (EZCare, Smith and Nephew) for up to 5 weeks. NPWT was changed 3 times a week. Study subjects were evaluated once a week for adverse events and wound measurements. Of study subjects, 43% attained at least a 50% wound area reduction after 4 weeks of therapy. Our results suggest that a high rate of wound closure could be expected with low pressure and a gauze interface.
Keywords:diabetes   ulceration   amputation   negative pressure   infection
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