CC BY-NC-ND 4.0 · Indian J Plast Surg 2014; 47(03): 412-417
DOI: 10.4103/0970-0358.146624
Ideas and Inovations
Association of Plastic Surgeons of India

Timer switch to convert suction apparatus for negative pressure wound therapy application

Surath Amarnath
Department of Orthopaedics, NRI Medical College and General Hospital, Chinnakakani, Guntur, Andhra Pradesh, India
,
Mettu Rami Reddy
Department of Orthopaedics, NRI Medical College and General Hospital, Chinnakakani, Guntur, Andhra Pradesh, India
,
Chayam Hanumantha Rao
Department of Orthopaedics, NRI Medical College and General Hospital, Chinnakakani, Guntur, Andhra Pradesh, India
,
Harsha Vardan Surath
Department of Orthopaedics, NRI Medical College and General Hospital, Chinnakakani, Guntur, Andhra Pradesh, India
› Author Affiliations
Further Information

Address for correspondence:

Dr. Surath Amarnath
Department of Orthopaedics, NRI Medical College and General Hospital
Chinnakakani - 522 503, Guntur, Andhra Pradesh
India   

Publication History

Publication Date:
26 August 2019 (online)

 

ABSTRACT

Background: Negative pressure wound therapy (NPWT) is an established modality in the treatment of chronic wounds, open fractures, and post-operative wound problems. This method has not been widely used due to the high cost of equipment and consumables. This study demonstrates an indigenously developed apparatus which gives comparable results at a fraction of the cost. Readily available materials are used for the air-tight dressing. Materials and Methods: Equipment consists of suction apparatus with adjustable pressure valve set to a pressure 125-150 mmHg. An electronic timer switch with a sequential working time of 5 min and a standby time of 3 min provides the required intermittent negative pressure. Readily available materials such as polyvinyl alcohol sponge, suction drains and steridrapes were used to provide an air tight wound cover. Results: A total of 90 cases underwent 262 NPWT applications from 2009 to 2014. This series, comprised of 30 open fractures, 21 post-operative and 39 chronic wounds. The wound healing rate in our study was comparable to other published studies using NPWT. Conclusion: The addition of electronic timer switch will convert a suction apparatus into NPWT machine, and the results are equally effective compared to more expensive counter parts. The use of indigenous dressing materials reduces the cost significantly.


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Conflict of Interest

None declared.

  • REFERENCES

  • 1 Lee SY, Niikura T, Miwa M, Sakai Y, Oe K, Fukazawa T. et al. Negative pressure wound therapy for the treatment of infected wounds with exposed knee joint after patellar fracture. Orthopedics 2011; 34: 211
  • 2 Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W. Vacuum-assisted closure: A new method for wound control and treatment: Animal studies and basic foundation. Ann Plast Surg 1997; 38: 553-62
  • 3 Argenta LC, Morykwas MJ. Vacuum-assisted closure: A new method for wound control and treatment: Clinical experience. Ann Plast Surg 1997; 38: 563-76
  • 4 Arcand N, Born C, Bliss J, Ray J Patel A. Negative pressure wound therapy and its application in orthopaedics Part I: Literature review. Osteosynthesis Trauma Care 2006; 14: 248-53
  • 5 Arcand V, Born C, Bliss J, Ray J, Patel A. Negative pressure wound therapy and its application in orthopaedics Part II: Clinical application. OsteosynthesisTrauma Care 2006; 14: 254-8
  • 6 Lee HJ, Kim JW, Oh CW, Min WK, Shon OJ, Oh JK. et al. Negative pressure wound therapy for soft tissue injuries around the foot and ankle. J Orthop Surg Res 2009; 4: 14
  • 7 Steiert AE, Andreas G, Schreiber TC, Krettek C, Vogt PM. Delayed flap coverage of open extremity fractures after previous vacuum assisted closure (VAC) therapy - Worse or worth?. J Plast Reconstr Aesthet Surg 2009; 62: 675-83
  • 8 Leininger BE, Rasmussen TE, Smith DL, Jenkins DH, Coppola C. Experience with wound VAC and delayed primary closure of contaminated soft tissue injuries in Iraq. J Trauma 2006; 61: 1207-11
  • 9 Herscovici Jr D, Sanders RW, Scaduto JM, Infante A, DiPasquale T. Vacuum-assisted wound closure (VAC therapy) for the management of patients with high-energy soft tissue injuries. J Orthop Trauma 2003; 17: 683-8
  • 10 Topaz M. Improved wound management by regulated negative pressure assisted wound therapy and regulated, oxygen enriched negative pressure assisted wound therapy through basic science research and clinical assessment. Indian J Plast Surg 2012; 45: 291-301
  • 11 Bohannon RW, Pfaller BA. Documentation of wound surface area from tracings of wound perimeters. Clinical report on three techniques. Phys Ther 1983; 63: 1622-4
  • 12 Steve T. An introduction to the use of vacuum assisted closure. World Wide Wound 2001; 1-10 Available from: http://www.worldwidewounds.com/2001/may/Thomas/Vacuum-Assisted-Closure.html
  • 13 Orgill DP, Bayer LR. Update on negative-pressure wound therapy. Plast Reconstr Surg 2011; 127: 105s-15
  • 14 Baker MI, Walsh SP, Schwartz Z, Boyan BD. A review of polyvinyl alcohol and its uses in cartilage and orthopedic applications. J Biomed Mater Res B Appl Biomater 2012; 100: 1451-7
  • 15 Mendez-Eastman S. Guidelines for using negative pressure wound therapy. Adv Skin Wound Care 2001; 14: 314-22
  • 16 Bollero D, Driver V, Glat P, Gupta S, Lazaro-Martinez JL, Lyder C. et al. The role of Negative pressure wound therapy in spectrum of wound healing: A guidelines document. . Ostomy Wound Manage 2010; 56: 1-8 Available from: http://www.owm.com/images/00_ConvaTec_OWM_lr.pdf
  • 17 United States Patent. Rosenblatt. Medical surgical sponge and method of making same # 4098728. 1978: 1-16 Available from: http://www.google.co.in/patents/US4098728
  • 18 Shalom A, Eran H, Westreich M, Friedman T. Our experience with a "homemade" vacuum-assisted closure system. Isr Med Assoc J 2008; 10: 613-6
  • 19 Streubel PN, Stinner DJ, Obremskey WT. Use of negative-pressure wound therapy in orthopaedic trauma. J Am Acad Orthop Surg 2012; 20: 564-74

Address for correspondence:

Dr. Surath Amarnath
Department of Orthopaedics, NRI Medical College and General Hospital
Chinnakakani - 522 503, Guntur, Andhra Pradesh
India   

  • REFERENCES

  • 1 Lee SY, Niikura T, Miwa M, Sakai Y, Oe K, Fukazawa T. et al. Negative pressure wound therapy for the treatment of infected wounds with exposed knee joint after patellar fracture. Orthopedics 2011; 34: 211
  • 2 Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W. Vacuum-assisted closure: A new method for wound control and treatment: Animal studies and basic foundation. Ann Plast Surg 1997; 38: 553-62
  • 3 Argenta LC, Morykwas MJ. Vacuum-assisted closure: A new method for wound control and treatment: Clinical experience. Ann Plast Surg 1997; 38: 563-76
  • 4 Arcand N, Born C, Bliss J, Ray J Patel A. Negative pressure wound therapy and its application in orthopaedics Part I: Literature review. Osteosynthesis Trauma Care 2006; 14: 248-53
  • 5 Arcand V, Born C, Bliss J, Ray J, Patel A. Negative pressure wound therapy and its application in orthopaedics Part II: Clinical application. OsteosynthesisTrauma Care 2006; 14: 254-8
  • 6 Lee HJ, Kim JW, Oh CW, Min WK, Shon OJ, Oh JK. et al. Negative pressure wound therapy for soft tissue injuries around the foot and ankle. J Orthop Surg Res 2009; 4: 14
  • 7 Steiert AE, Andreas G, Schreiber TC, Krettek C, Vogt PM. Delayed flap coverage of open extremity fractures after previous vacuum assisted closure (VAC) therapy - Worse or worth?. J Plast Reconstr Aesthet Surg 2009; 62: 675-83
  • 8 Leininger BE, Rasmussen TE, Smith DL, Jenkins DH, Coppola C. Experience with wound VAC and delayed primary closure of contaminated soft tissue injuries in Iraq. J Trauma 2006; 61: 1207-11
  • 9 Herscovici Jr D, Sanders RW, Scaduto JM, Infante A, DiPasquale T. Vacuum-assisted wound closure (VAC therapy) for the management of patients with high-energy soft tissue injuries. J Orthop Trauma 2003; 17: 683-8
  • 10 Topaz M. Improved wound management by regulated negative pressure assisted wound therapy and regulated, oxygen enriched negative pressure assisted wound therapy through basic science research and clinical assessment. Indian J Plast Surg 2012; 45: 291-301
  • 11 Bohannon RW, Pfaller BA. Documentation of wound surface area from tracings of wound perimeters. Clinical report on three techniques. Phys Ther 1983; 63: 1622-4
  • 12 Steve T. An introduction to the use of vacuum assisted closure. World Wide Wound 2001; 1-10 Available from: http://www.worldwidewounds.com/2001/may/Thomas/Vacuum-Assisted-Closure.html
  • 13 Orgill DP, Bayer LR. Update on negative-pressure wound therapy. Plast Reconstr Surg 2011; 127: 105s-15
  • 14 Baker MI, Walsh SP, Schwartz Z, Boyan BD. A review of polyvinyl alcohol and its uses in cartilage and orthopedic applications. J Biomed Mater Res B Appl Biomater 2012; 100: 1451-7
  • 15 Mendez-Eastman S. Guidelines for using negative pressure wound therapy. Adv Skin Wound Care 2001; 14: 314-22
  • 16 Bollero D, Driver V, Glat P, Gupta S, Lazaro-Martinez JL, Lyder C. et al. The role of Negative pressure wound therapy in spectrum of wound healing: A guidelines document. . Ostomy Wound Manage 2010; 56: 1-8 Available from: http://www.owm.com/images/00_ConvaTec_OWM_lr.pdf
  • 17 United States Patent. Rosenblatt. Medical surgical sponge and method of making same # 4098728. 1978: 1-16 Available from: http://www.google.co.in/patents/US4098728
  • 18 Shalom A, Eran H, Westreich M, Friedman T. Our experience with a "homemade" vacuum-assisted closure system. Isr Med Assoc J 2008; 10: 613-6
  • 19 Streubel PN, Stinner DJ, Obremskey WT. Use of negative-pressure wound therapy in orthopaedic trauma. J Am Acad Orthop Surg 2012; 20: 564-74