Management of extensive cutaneous necrosis due to meningococcal septicaemia purpura fulminans with topical negative pressure (TNP) suits

Management of extensive cutaneous necrosis due to meningococcal septicaemia purpura fulminans... Extensive cutaneous necrosis due to purpura fulminans presents many of the same treatment challenges as a significant burn injury. The areas of tissue loss are large, require complex and repeated dressings and create a significant reconstructive challenge. These patients are therefore often treated by burns multi-disciplinary teams (Ariivalo et al., Burns 24:272–274, 1 ). Topical negative pressure (TNP) therapy has a recognised role in the management of complex wounds, but its use is normally restricted to moderates sized defects. This paper describes a method of TNP dressing application to large purpura fulminans wound areas, including the buttocks and perineum, by fashioning ATNP suits. A photographically illustrated series is presented to demonstrate a TNP suit application in four consecutive paediatric cases of severe purpura fulminans, and they are representative of our practise. These cases illustrate how TNP suits provide a robust movement resistant dressing which removes exudate from the wound, splinting and reducing the wound area, promoting a graftable bed and facilitating graft take in these difficult to manage patients. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Management of extensive cutaneous necrosis due to meningococcal septicaemia purpura fulminans with topical negative pressure (TNP) suits

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Publisher
Springer Journals
Copyright
Copyright © 2012 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-011-0641-7
Publisher site
See Article on Publisher Site

Abstract

Extensive cutaneous necrosis due to purpura fulminans presents many of the same treatment challenges as a significant burn injury. The areas of tissue loss are large, require complex and repeated dressings and create a significant reconstructive challenge. These patients are therefore often treated by burns multi-disciplinary teams (Ariivalo et al., Burns 24:272–274, 1 ). Topical negative pressure (TNP) therapy has a recognised role in the management of complex wounds, but its use is normally restricted to moderates sized defects. This paper describes a method of TNP dressing application to large purpura fulminans wound areas, including the buttocks and perineum, by fashioning ATNP suits. A photographically illustrated series is presented to demonstrate a TNP suit application in four consecutive paediatric cases of severe purpura fulminans, and they are representative of our practise. These cases illustrate how TNP suits provide a robust movement resistant dressing which removes exudate from the wound, splinting and reducing the wound area, promoting a graftable bed and facilitating graft take in these difficult to manage patients.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Apr 1, 2012

References

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