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Low-cost Negative-pressure Wound Therapy Using Wall Vacuum: A 15 Dollars by Day Alternative.
- Source :
-
Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2015 Jul 08; Vol. 3 (6), pp. e418. Date of Electronic Publication: 2015 Jul 08 (Print Publication: 2015). - Publication Year :
- 2015
-
Abstract
- Background: Negative-pressure wound therapy (NPWT) has been marketed for about 20 years and remains popular. The only real obstacle to NPWT is the cost; therefore, we designed an inexpensive NPWT connected to a wall vacuum. Here, we report the feasibility and safety of this product, which we call PROVACUUM (Z-Biotech, Saint-Avertin, France).<br />Methods: As a first step, the constraints imposed on the manufacturer were equipment quality similar to that of commercial NPWT systems, with an average treatment cost of $15/d. Then, we conducted a prospective study of patients with indications for NPWT from September 2013 to January 2015. Data collected included ease of use, quality of materials, and occurrence of complications during treatment.<br />Results: We enrolled 23 patients with a mean age of 50.8 years. The average duration of treatment was 8.5 days (range, 3-21 days). The dressings were changed every 3.3 days (range, 2-4 days). Two hematomas occurred that required surgical revision and the transfusion of 2 units after large debridement of pressure ulcer. No other adverse events or infections occurred. The surgeons found that our device was similar to commercial NPWT devices.<br />Conclusions: We developed an inexpensive NPWT that costs an average of $15/d. Our process is not intended to replace portable or stand-alone devices with batteries, but rather offers a less expensive alternative for hospitalized patients and makes NPWT accessible to the most precarious countries and institutions.
Details
- Language :
- English
- ISSN :
- 2169-7574
- Volume :
- 3
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Plastic and reconstructive surgery. Global open
- Publication Type :
- Academic Journal
- Accession number :
- 26180719
- Full Text :
- https://doi.org/10.1097/GOX.0000000000000347