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Low-cost Negative-pressure Wound Therapy Using Wall Vacuum: A 15 Dollars by Day Alternative.

Chaput B, Garrido I, Eburdery H, Grolleau JL, Chavoin JP - Plast Reconstr Surg Glob Open (2015)

Bottom Line: Here, we report the feasibility and safety of this product, which we call PROVACUUM (Z-Biotech, Saint-Avertin, France).The surgeons found that our device was similar to commercial NPWT devices.We developed an inexpensive NPWT that costs an average of $15/d.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic and Reconstructive Surgery, Rangueil University Hospital, Toulouse, France.

ABSTRACT

Background: Negative-pressure wound therapy (NPWT) has been marketed for about 20 years and remains popular. The only real obstacle to NPWT is the cost; therefore, we designed an inexpensive NPWT connected to a wall vacuum. Here, we report the feasibility and safety of this product, which we call PROVACUUM (Z-Biotech, Saint-Avertin, France).

Methods: As a first step, the constraints imposed on the manufacturer were equipment quality similar to that of commercial NPWT systems, with an average treatment cost of $15/d. Then, we conducted a prospective study of patients with indications for NPWT from September 2013 to January 2015. Data collected included ease of use, quality of materials, and occurrence of complications during treatment.

Results: We enrolled 23 patients with a mean age of 50.8 years. The average duration of treatment was 8.5 days (range, 3-21 days). The dressings were changed every 3.3 days (range, 2-4 days). Two hematomas occurred that required surgical revision and the transfusion of 2 units after large debridement of pressure ulcer. No other adverse events or infections occurred. The surgeons found that our device was similar to commercial NPWT devices.

Conclusions: We developed an inexpensive NPWT that costs an average of $15/d. Our process is not intended to replace portable or stand-alone devices with batteries, but rather offers a less expensive alternative for hospitalized patients and makes NPWT accessible to the most precarious countries and institutions.

No MeSH data available.


Related in: MedlinePlus

A, NPWT dressing kit in its package. B, Open dressing kit, comprising transparent adhesive film, polyurethane foam, tubing, 3-way valve, and an adapter.
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getmorefigures.php?uid=PMC4494488&req=5

Figure 1: A, NPWT dressing kit in its package. B, Open dressing kit, comprising transparent adhesive film, polyurethane foam, tubing, 3-way valve, and an adapter.

Mentions: First, we designed an inexpensive NPWT device made of polyurethane foam, transparent adhesive film, tubing, and a 3-way valve, which we had manufactured by Z-Biotech. The constraints imposed on the manufacturer were an equipment quality similar to that of commercial NPWT devices and an average treatment cost of $15/d (Fig. 1).


Low-cost Negative-pressure Wound Therapy Using Wall Vacuum: A 15 Dollars by Day Alternative.

Chaput B, Garrido I, Eburdery H, Grolleau JL, Chavoin JP - Plast Reconstr Surg Glob Open (2015)

A, NPWT dressing kit in its package. B, Open dressing kit, comprising transparent adhesive film, polyurethane foam, tubing, 3-way valve, and an adapter.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4494488&req=5

Figure 1: A, NPWT dressing kit in its package. B, Open dressing kit, comprising transparent adhesive film, polyurethane foam, tubing, 3-way valve, and an adapter.
Mentions: First, we designed an inexpensive NPWT device made of polyurethane foam, transparent adhesive film, tubing, and a 3-way valve, which we had manufactured by Z-Biotech. The constraints imposed on the manufacturer were an equipment quality similar to that of commercial NPWT devices and an average treatment cost of $15/d (Fig. 1).

Bottom Line: Here, we report the feasibility and safety of this product, which we call PROVACUUM (Z-Biotech, Saint-Avertin, France).The surgeons found that our device was similar to commercial NPWT devices.We developed an inexpensive NPWT that costs an average of $15/d.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic and Reconstructive Surgery, Rangueil University Hospital, Toulouse, France.

ABSTRACT

Background: Negative-pressure wound therapy (NPWT) has been marketed for about 20 years and remains popular. The only real obstacle to NPWT is the cost; therefore, we designed an inexpensive NPWT connected to a wall vacuum. Here, we report the feasibility and safety of this product, which we call PROVACUUM (Z-Biotech, Saint-Avertin, France).

Methods: As a first step, the constraints imposed on the manufacturer were equipment quality similar to that of commercial NPWT systems, with an average treatment cost of $15/d. Then, we conducted a prospective study of patients with indications for NPWT from September 2013 to January 2015. Data collected included ease of use, quality of materials, and occurrence of complications during treatment.

Results: We enrolled 23 patients with a mean age of 50.8 years. The average duration of treatment was 8.5 days (range, 3-21 days). The dressings were changed every 3.3 days (range, 2-4 days). Two hematomas occurred that required surgical revision and the transfusion of 2 units after large debridement of pressure ulcer. No other adverse events or infections occurred. The surgeons found that our device was similar to commercial NPWT devices.

Conclusions: We developed an inexpensive NPWT that costs an average of $15/d. Our process is not intended to replace portable or stand-alone devices with batteries, but rather offers a less expensive alternative for hospitalized patients and makes NPWT accessible to the most precarious countries and institutions.

No MeSH data available.


Related in: MedlinePlus