Negative-pressure wound therapy for diabetic ischemic foot wounds in hemodialysis patients

Negative-pressure wound therapy for diabetic ischemic foot wounds in hemodialysis patients Background The evidence-based recommendations in 2011 wound closure surgery was significantly shortened with NPWT state that a negative-pressure wound therapy (NPWT) may after revascularization by means of PTA in CLI patients. be considered as an advanced wound care therapy for lower Level of Evidence: Level IV, therapeutic study. limb ulceration after successful revascularization. Since the . . grade of recommendation was determined by six articles Keywords Critical limb ischemia Diabetes . . which did not study patients with similar wound severity to Negative-pressure wound therapy Peripheral arterialdisease critical limb ischemia (CLI), we investigated the patients with Hemodialysis similar one. Methods Of the 169 cases who were surgically treated for lower extremity wounds due to CLI between January 1, Introduction 2007, and December 31, 2013, nine cases satisfied the follow- ing criteria in our institute. There were patients on hemodial- In 2000, the V.A.C. (KCI San Antonio, USA) treatment system, ysis due to diabetic nephropathy among patients with CLI, a negative-pressure wound therapy (NPWT) device, obtained and percutaneous transluminal angioplasty (PTA) was per- approval by the Medicare public medical insurance system for formed. These patients had foot gangrene, underwent debride- use in the elderly and disabled in the USA [1]. European Journal of Plastic Surgery Springer Journals

Negative-pressure wound therapy for diabetic ischemic foot wounds in hemodialysis patients

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Springer Berlin Heidelberg
Copyright © 2016 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Plastic Surgery
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