Introduction
Negative pressure wound care (NPWC) has been known to have the potential to promote wound healing, alleviate concerns such as increasing exudate and odor, and improve quality of life for patients. Various studies reported this method offers fewer dressing changes, decreased total hospitalization time, and reduced wound pain compared with conventional therapy.1 Several reports regarding polyurethane foam dressing show newly formed granulation tissue may grow into the polyurethane foam, making its removal painful during dressing changes. Foam dressing removal also can lead to damage to the wound bed.1 Various strategies by several authors have been adopted to reduce pain during dressing changes.2 However, the strategies applied did not solve the problem of pain, and the foam-based negative pressure wound therapy was not less expensive in the treatment of chronic nonhealing wounds until now. In this study, the authors used gauze-based negative pressure wound therapy (NPWT) for the treatment of chronic nonhealing wounds suitable for delayed closure, and evaluated the efficacy of gauze-based NPWT using the Chariker-Jeter technique before delayed primary or secondary closure. The authors recorded wound dimension, patient complaints of pain, and cost at the end of the treatment period. The authors suggest that using gauze medium as a wound filler material can reduce pain during dressing changes and provide a less expensive method in the treatment of chronic wounds.
Introduction Negative pressure wound care (NPWC) has been known to have the potential to promote wound healing, alleviate concerns such as increasing exudate and odor, and improve quality of life for patients. Various studies reported this method offers fewer dressing changes, decreased total hospitalization time, and reduced wound pain compared with conventional therapy.1 Several reports regarding polyurethane foam dressing show newly formed granulation tissue may grow into the polyurethane foam, making its removal painful during dressing changes. Foam dressing removal also can lead to damage to the wound bed.1 Various strategies by several authors have been adopted to reduce pain during dressing changes.2 However, the strategies applied did not solve the problem of pain, and the foam-based negative pressure wound therapy was not less expensive in the treatment of chronic nonhealing wounds until now. In this study, the authors used gauze-based negative pressure wound therapy (NPWT) for the treatment of chronic nonhealing wounds suitable for delayed closure, and evaluated the efficacy of gauze-based NPWT using the Chariker-Jeter technique before delayed primary or secondary closure. The authors recorded wound dimension, patient complaints of pain, and cost at the end of the treatment period. The authors suggest that using gauze medium as a wound filler material can reduce pain during dressing changes and provide a less expensive method in the treatment of chronic wounds.
การแปล กรุณารอสักครู่..
