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Use of a novel silicone‐acrylic drape with negative pressure wound therapy in anatomically challenging wounds

机译:使用具有负压伤口伤口的新型硅酮丙烯酸悬垂性造成伤口

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摘要

Negative pressure wound therapy (NPWT) utilises a polyurethane drape with acrylic adhesive over foam dressings to create a seal. In anatomically challenging areas, ancillary products are frequently used. Additionally, health care providers are unable to reposition the drape once placed. A novel hybrid drape consisting of polyurethane film with acrylic adhesive and silicone perforated layer has been developed to allow for repositioning after initial placement and easy removal. This six‐patient case series evaluates the use of NPWT with hybrid drape over anatomically challenging wounds. Three males and three females were treated. Dressing changes occurred every 2 to 3 days. Drape application, repositioning, and ability to maintain a seal were evaluated. During application, the drape was repositioned 1 to 2 times without periwound skin irritation in 4/6 wounds. Prior to initial application, ancillary products were applied to help create a seal. However, by the second or third application, ancillary products were no longer used in 4/6 wounds. None of the dressing applications resulted in negative pressure seal leaks. In these patients, health care providers could reposition the hybrid drape after initial placement without periwound skin irritation and successfully create a negative pressure seal without ancillary products in anatomically challenging wound locations.
机译:负压伤口治疗(NPWT)利用聚氨酯悬垂与丙烯酸粘合剂在泡沫敷料上产生密封。在解剖学上具有挑战性的地区,经常使用辅助产品。此外,保健提供者无法重新定位一旦放置窗帘。已经开发出一种具有丙烯酸粘合剂和有机硅穿孔层的聚氨酯膜组成的新型杂交覆盖物,以便在初始放置后进行重新定位,并且易于移除。这种六患者案例系列评估了NPWT在解剖学上挑战的伤口上使用杂交悬垂。治疗了三个男性和三名女性。敷料变化每2至3天发生一次。评估悬垂的应用,重新定位和保持密封的能力。在施用期间,悬垂在4/6伤口中重新定位1至2次而不会过度皮肤刺激。在初始应用之前,应用辅助产品来帮助创建密封。然而,在第二种或第三种应用中,辅助产品不再用于4/6伤口。没有敷料应用导致负压密封泄漏。在这些患者中,医疗保健提供者可以在没有过周围皮肤刺激的情况下重新定位混合悬垂性,并在没有辅助产品的情况下在解剖学上挑战伤口位置,在没有辅助产品的情况下成功创造负压密封。

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