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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

See video, Supplemental Digital Content 1, which displays ischial pressure ulcer management with PROVACUUM. This video is available in the “Related Videos” section of the full-text article at http://www.PRSGO.com or available at http://links.lww.com/PRSGO/A106.
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Related In: Results  -  Collection


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Figure 4: See video, Supplemental Digital Content 1, which displays ischial pressure ulcer management with PROVACUUM. This video is available in the “Related Videos” section of the full-text article at http://www.PRSGO.com or available at http://links.lww.com/PRSGO/A106.


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)

See video, Supplemental Digital Content 1, which displays ischial pressure ulcer management with PROVACUUM. This video is available in the “Related Videos” section of the full-text article at http://www.PRSGO.com or available at http://links.lww.com/PRSGO/A106.
© Copyright Policy
Related In: Results  -  Collection

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

Figure 4: See video, Supplemental Digital Content 1, which displays ischial pressure ulcer management with PROVACUUM. This video is available in the “Related Videos” section of the full-text article at http://www.PRSGO.com or available at http://links.lww.com/PRSGO/A106.
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