Plastic and Reconstructive Surgery

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Plastic & Reconstructive Surgery:
doi: 10.1097/PRS.0b013e3182a80586
Reconstructive: Trunk: Original Article

Negative-Pressure Wound Therapy with Instillation: International Consensus Guidelines

Kim, Paul J. D.P.M., M.S.; Attinger, Christopher E. M.D.; Steinberg, John S. D.P.M.; Evans, Karen K. M.D.; Lehner, Burkhard M.D.; Willy, Christian M.D., Ph.D.; Lavery, Larry D.P.M., M.P.H.; Wolvos, Tom M.D., M.S.; Orgill, Dennis M.D., Ph.D.; Ennis, William D.O., M.B.A.; Lantis, John M.D.; Gabriel, Allen M.D.; Schultz, Gregory Ph.D.

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Background: Negative-pressure wound therapy with instillation is increasingly utilized as an adjunct therapy for a wide variety of wounds. Despite its growing popularity, there is a paucity of evidence and lack of guidance to provide effective use of this therapy.

Methods: A panel of experts was convened to provide guidance regarding the appropriate use of negative-pressure wound therapy with instillation. A face-to-face meeting was held where the available evidence was discussed and individual clinical experience with this therapy was shared. Follow-up communication among the panelists continued until consensus was achieved. The final consensus recommendations were derived through more than 80 percent agreement among the panelists.

Results: Nine consensus statements were generated that address the appropriate use of negative-pressure wound therapy with instillation. The question of clinical effectiveness of this therapy was not directly addressed by the consensus panel.

Conclusion: This document serves as preliminary guidelines until more robust evidence emerges that will support or modify these consensus recommendations.

©2013American Society of Plastic Surgeons


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