The Evolution of Negative Pressure Wound Therapy (NPWT): A Review of Science, Available Devices, and Evolution in the Usage of NPWT

Acell

Acell

Abstract:

Negative Pressure Wound Therapy (NPWT) is an important clinical tool with multiple published studies reporting more rapid formation of granulation tissue and a decreased time for wound healing. Since the induction of NPWT systems in 1995, there has been wide usage of the device for treatment of wounds. However, the past 18 years has also witnessed a significant shift in the way NPWT is utilized. Meeting the demands and wound care needs of an ever-growing population has resulted in several other companies releasing their versions of the NWPT device. Although there is a significant body of literature supporting the science and clinical advantages of the KCI system, the newer systems differ in terms of suction devices, connecting tubing, and wound interface materials. It cannot be assumed that the newly developed devices have the same science and clinical advantages as the KCI System. The purpose of this article is to review the science behind NPWT, assess and compare the currently available devices, and examine the scientific literature supporting the efficiency and application of NPWT in wound reconstruction.

Authors:

Stephanie C. Wu, DPM, MS, FACFAS, Associate Dean of Research, Associate Professor of Surgery, Associate Professor, Stem Cell and Regenerative Medicine, Dr. William M. Scholl College of Podiatric Medicine , Rosalind Franklin University of Medicine and Science, Director, Center for Lower Extremity Ambulatory Research, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, Melissa K. Skratsky, DPM, Assistant Professor, Department of Podiatric Medicine and Radiology, Dr. William M. Scholl College of , Podiatric Medicine, Rosalind Franklin University, North Chicago, Illinois, Charles A. Andersen, MD, FACS, Chief, Vascular, Endovascular, Limb Preservation Surgery Service, Medical Director of Wound Care Clinic, Clinical Professor of Surgery UW, USUHS, Madigan Army Medical Center, Tacoma, Washington

PMID: 23975442

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