Case Study of Transfemoral Wound Using NPWT Therapy
Aim of Therapy:
Management of Transfemoral Wound Using Negative Pressure Wound Therapy
Patient Information:
| First Dressing Application Date: | 14/10/2022 |
| Dressing Remove Date: | 18/10/2022 |
| Patient Name: | Mr. Masayabin |
| Patient Age: | 52-Year-Old |
| Wound Type: | Diabetic Ulcer |
| Exudates Type with Wound Depth: | Purulent and Serosanguinous (Amputation) |
| Hospital Name: | J.J Hospital ( Mumbai ) |
| Doctor Name: | Dr. Shahel |
| Doctor Specialty: | Orthopedic surgeon |
| Clinical Person Name: | Mr. Suresh Yadav |
| Patient Profile: | Accidental Wound |
| Dressing Type/Device: | CCNPWT (VTG-2901) |
| Pressure Range: | -100 mmHg |
| Any Major Illness During Therapy: | Severe pain |
| Diabetic / Non -Diabetic | Non-Diabetic |
| Supportive Ongoing Treatment | Antibiotics, Painkiller |
| Total Days of Recovery or Treatment Duration | 5 Days |
| Wound Location | Above Knee (Lower Extremity) |
Clinical Scenario:
A 52-year-old patient was admitted to the hospital after his above-knee amputation. He has a history of poorly controlled type II Diabetes Mellitus, resulting in frequent hospitalizations due to hyperglycemic events. His above-knee amputation was the result of a multi-year history of poorly controlled DM II The wound bed had the presence of serous fluid, a damaged basal skin layer with devitalized tissues, and abrasion in peri-wound skin. The poor blood supply in his leg and foot hindered wound healing, and the blister got infected, which resulted in above-knee amputation. The patient had no other infection (Systemic or local). After evaluation, the doctor suggested NPWT(VTG 2901) for the generation of granulation tissue and rapid healing of the wound.
Management:
After disinfecting the wound, NPWT (VTG 2901) was initiated. Therapy was initiated on the wound bed at constant pressure at -100 mmHg for 5 days. Therapy was continued to be applied on 5 days of the recovery period, followed by the same pressure, and the wound underwent a single session of dressing change. During therapy, the patient was on ongoing supportive treatment to prevent further infection. After the removal of the final dressing, the wound bed was sufficiently occupied with granulation tissue. Wound size was also reduced. There was no secondary infection during treatment, and peri-wound health was also improved. After follow-up, the wound underwent a further process of closure.
