Sanford Medical Center Fargo, Fargo, North Dakota.
Wounds. 2021 Nov;33(11):304-307. Epub 2021 Sep 14.
Negative pressure wound therapy (NPWT) is applied using a foam dressing and an adhesive acrylic drape to create a seal. Removal of this drape can be painful and may play a role in periwound skin breakdown during dressing changes. A novel silicone-acrylic hybrid drape (HA-drape) has been developed for use with NPWT to allow for repositioning after initial placement and easier removal.
This retrospective case series reports on the use of HA-drape in 4 patients who experienced periwound skin breakdown. The goal was to minimize skin breakdown while maintaining a seal on the dressing.
Four patients with mild to moderate periwound skin breakdown were selected to receive NPWT with HA-drape. Negative pressure wound therapy was applied using a reticulated open cell foam dressing followed by placement of HA-drape to create a seal. Negative pressure wound therapy was initiated at -125 mm Hg with dressing changes occurring every 2 days. Wound healing, periwound healing, and patient-reported pain were assessed at dressing changes.
All 4 patients showed significant periwound skin improvement after the first dressing change. All patients reported a decrease in pain with dressing removal.
In these 4 patients' wounds, use of NPWT with HA-drape resulted in intact periwound with improved periwound skin healing and reduction in patient-reported pain associated with dressing changes.
负压伤口疗法（NPWT）使用泡沫敷料和粘性丙烯酸布来密封伤口。移除这种布可能会很痛，并且在更换敷料时可能会导致伤口周围皮肤破裂。一种新型的硅酮-丙烯酸混合布（HA 布）已被开发用于 NPWT，以允许在初始放置后重新定位并更容易移除。
本回顾性病例系列报告了在 4 名经历伤口周围皮肤破裂的患者中使用 HA 布的情况。目标是在保持敷料密封的同时尽量减少皮肤破裂。
选择了 4 名轻度至中度伤口周围皮肤破裂的患者接受 HA 布的 NPWT。NPWT 使用网状开孔泡沫敷料进行，然后放置 HA 布以形成密封。负压力伤口治疗以-125mmHg 开始，每 2 天更换一次敷料。在更换敷料时评估伤口愈合、伤口周围愈合和患者报告的疼痛情况。
所有 4 名患者在第一次更换敷料后都显示出明显的伤口周围皮肤改善。所有患者在去除敷料时都报告疼痛减轻。
在这 4 名患者的伤口中，使用 NPWT 和 HA 布可实现完整的伤口周围，改善伤口周围皮肤愈合，并减少与敷料更换相关的患者报告疼痛。
