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A Novel Inexpensive Technique to Seal Negative Pressure Wound Therapy on External Fixation Devices

Caputo, Glenda G., MD, PhD; Marchetti, Alberto, MD; Governa, Maurizio, MD; Dalla Pozza, Edoardo, MD

doi: 10.1097/BOT.0000000000001281
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Summary: Negative pressure wound therapy, a tool widely applied to treat lower limb traumas, is useful in reconstructive procedures. However, obtaining an airtight vacuum seal when using a negative pressure dressing around an external fixation device can be complicated and time-consuming. The plastic drape seldom adheres to screws, pins, or wires and, as such, the vacuum seal is jeopardized. In surgical departments, colostomy paste is widely used, readily available, and applied where pins and wires make contact with the plastic drape. It is a fast, practical, and inexpensive method of preventing air leakage. In conclusion, to obtain an airtight seal between the skin and an external fixation device, colostomy paste may be used to ensure an optimal tight seal, even for complex and extended wounds, for 3–5 days without complications or the requirement for additional dressing changes. Furthermore, it is inexpensive, readily available, simple to use, and quick to apply.

Department of Plastic and Reconstructive Surgery, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.

Reprints: Edoardo Dalla Pozza, MD, Department of Plastic and Reconstructive Surgery, Azienda Ospedaliera Universitaria Integrata, Piazzale Stefani 1, Verona 37126, Italy (e-mail: Edoardo.dallapozza@gmail.com).

The authors report no conflict of interest.

Accepted June 29, 2018

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