Department of Precision and Regenerative Medicine and Jonica Area (Dimepre-J), U.O.C. of General Surgery University V. Bonomo, University of Bari Aldo Moro, Bari, Italy.
Department of Precision and Regenerative Medicine of the Ionian Area, Division of Plastic and Reconstructive Surgery, University of Bari Aldo Moro, Bari, Italy.
Wounds. 2024 Oct;36(10):350-356. doi: 10.25270/wnds/24001.
Negative pressure wound therapy (NPWT) has significantly transformed wound care, particularly the management of complex injuries and unresponsive wounds. Crush injuries from road traffic accidents pose intricate challenges due to their severity, often requiring multimodal interventions. NPWT accelerates healing by stimulating tissue formation and reducing inflammation; however, its use necessitates careful patient selection and wound assessment for potential complications.
A 16-year-old male sustained catastrophic crush injuries involving extensive soft tissue damage, bone exposure, bowel perforation, and genitourinary trauma in a vehicular accident involving a farm vehicle run-over event. The patient received various interventions, including NPWT combined with tension sutures for wound management. The case highlights the multidisciplinary approach required to manage primary wounds and complications. NPWT facilitated granulation tissue formation, aiding wound closure without necessitating alternative methods such as skin grafting or flap coverage.
This case underscores NPWT's effectiveness in the management of severe crush injuries. While successful wound closure was achieved, as of this writing postoperative-recovery challenges persist, emphasizing the importance of multidisciplinary care in long-term recovery. The case reaffirms NPWT as a valuable option in managing extensive injuries resulting from road traffic accidents.
负压伤口疗法（NPWT）极大地改变了伤口护理，特别是对复杂损伤和无反应性伤口的处理。道路交通伤害导致的挤压伤因其严重程度而带来复杂的挑战，往往需要多模式干预。NPWT 通过刺激组织形成和减少炎症来加速愈合；然而，其使用需要仔细选择患者并评估伤口，以避免潜在的并发症。
一名 16 岁男性在一场涉及农用车辆碾压事件的交通事故中遭受了严重的挤压伤，涉及广泛的软组织损伤、骨外露、肠穿孔和泌尿生殖系统创伤。该患者接受了各种干预措施，包括 NPWT 联合张力缝线进行伤口管理。该病例突出了管理原发性伤口和并发症所需的多学科方法。NPWT 促进了肉芽组织形成，有助于伤口闭合，而无需采用其他方法，如植皮或皮瓣覆盖。
本病例强调了 NPWT 在严重挤压伤管理中的有效性。虽然成功实现了伤口闭合，但截至撰写本文时，术后恢复仍存在挑战，强调了多学科护理在长期康复中的重要性。该病例再次证实 NPWT 是处理道路交通伤害导致的广泛损伤的一种有价值的选择。
