Using negative pressure wound therapy to manage severe military trauma wounds
نویسندگان
چکیده
Jean-Pierre St Mart is Core Surgical Trainee Year 1; Steven Jeffery, Lt Col Royal Army Medical Corps is Consultant Plastic and Reconstructive Surgeon; Major John Clark is Senior Burns and Plastic Surgery Military Nurse Specialist, Burns and Plastics, all at The Royal Centre for Defence Medicine, Selly Oak Hospital, Birmingham The injuries sustained by British soldiers in Afghanistan and Iraq are frequently associated with extensive soft tissue stripping contamination and high levels of exudate. They are particularly prone to infection by both bacteria and fungi. Wound management in such scenarios is therefore challenging. Negative pressure wound therapy (NPWT) has been found to be extremely effective in the treatment of such wounds. This article looks at three cases of traumatic wounds (two military wounds and one traumatic crush wound) and how the use of NPWT, particularly using a gauze-based system, has helped to optimise care.
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