Our objective is to describe the experience of the Vascular Surgery Service of CHULN as a pioneer of the application of NPWT in complex wounds in this particular case. The initial approach to this patient lesions was the responsibility of Plastic Surgery.
However, due to the severity of the personal history and the evolution of the cicatrization of these lesions, Vascular Surgery intervened. The surgical treatment of this patient was multidisciplinary, having undergone a bilateral iliac revascularization and skin grafting. NPWT proved to be the best advanced therapy in the management of wound bed moisture level, reduction of perilesional edema, infection / biofilm management and optimization of tissue in the wound bed, promoting epithelialization and consequently healing.
Methods
We performed a case report of a young woman with Juvenile lupus (25 years of evolution) and anti-phospholipid syndrome. She had a traffic accident with traumatic injuries in both lower limbs.
Results
The treatment lasted 2 months, at the end of which, the wound had 100% epithelial tissue. The results obtained demonstrate reduction of healing time, risk of wound infection rates and pain associated with wounds, and an increase of autonomy, mobility and quality of life.
Conclusion
The establishment of good practices in the prevention and treatment of wounds demonstrate highly positive results, namely reduction of the number of errors, improvement of results, as well as greater predictability of associated costs.
Clinical relevance
NPWT is a advanced therapy used in the treatment of complex wounds.
Used in specialized centers and with experience, NPWT can be a simple, safe and effective method for the treatment of complex wounds to reduce healing time. Long periods of hospitalization can be avoided.
