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Case report| Volume 65, ISSUE 3, P395-398, March 2012

Application of low-pressure negative pressure wound therapy to ischaemic wounds

  • Yoshiaki Kasai
    Correspondence
    Corresponding author. Tel.: +81 459746223.
    Affiliations
    Department of Plastic and Reconstructive Surgery, Fujigaoka Hospital, Showa University School of Medicine, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa 227-8501, Japan
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  • Hitoshi Nemoto
    Affiliations
    Department of Plastic and Reconstructive Surgery, Fujigaoka Hospital, Showa University School of Medicine, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa 227-8501, Japan
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  • Naohiro Kimura
    Affiliations
    Department of Plastic and Reconstructive Surgery, Fujigaoka Hospital, Showa University School of Medicine, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa 227-8501, Japan
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  • Yoshinori Ito
    Affiliations
    Department of Plastic and Reconstructive Surgery, Fujigaoka Hospital, Showa University School of Medicine, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa 227-8501, Japan
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  • Noriyoshi Sumiya
    Affiliations
    Department of Plastic and Reconstructive Surgery, Fujigaoka Hospital, Showa University School of Medicine, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa 227-8501, Japan
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Published:August 25, 2011DOI:https://doi.org/10.1016/j.bjps.2011.08.010

      Summary

      Negative pressure wound therapy (NPWT) is a useful wound dressing that can be applied to a wide variety of wounds. Patients with ischaemic wounds, however, may experience further necrosis with NPWT at the commonly recommended pressure of −125 mm Hg. We hypothesized that with a suction pressure of −125 mm Hg, tissue pressure will likely occlude most of the capillaries adjacent to the wound edge. Therefore, we treated three patients with ischaemic wounds using low-pressure NPWT at −50 mm Hg. All wounds healed successfully without further necrosis at the wound edge.

      Keywords

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