Negative-Pressure Wound Therapy for Managing Complicated Wounds at Extracorporeal Membrane Oxygenation Sites

Yeseul Eom; Kyong Je Woo

doi:10.1097/01.ASW.0000553596.11034.d7

Negative-Pressure Wound Therapy for Managing Complicated Wounds at Extracorporeal Membrane Oxygenation Sites

Yeseul Eom, Kyong Je Woo

Department of Plastic & Reconstructive Surgery

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

OBJECTIVE: To evaluate the effectiveness of negative-pressure wound therapy (NPWT) for management of wound complications at extracorporeal membrane oxygenation (ECMO) removal sites. METHODS: The authors retrospectively reviewed patients who underwent NPWT at ECMO removal sites followed by the development of wound complications including skin necrosis, lymphorrhea, and femoral vessel exposure. A nonadhesive bacteria-binding mesh was used as a wound contact layer of NPWT application. Patient characteristics and clinical outcomes were evaluated. RESULTS: Nine patients underwent NPWT for complicated wounds at ECMO sites. The mean age of patients was 49.2 years (range, 14-64 years). All patients exhibited wound complications with lymphorrhea and skin necrosis. Seven of nine patients had wound cultures that were positive for microorganisms, but culture conversion to negative was achieved after NPWT application for a mean period of 21.2 days (range, 12-30 days). Lymphorrhea was successfully managed, and formation of fresh granulation tissue was observed in all patients. Wound healing either by primary closure, skin graft, or secondary healing was achieved without recurrence of wound complications. There were no cases of femoral vessel injury or aneurysm during NPWT application. CONCLUSIONS: Negative-pressure wound therapy appears to be a safe and effective treatment option in the management of complicated wounds at ECMO sites.

Original language	English
Pages (from-to)	183-189
Number of pages	7
Journal	Advances in Skin and Wound Care
Volume	32
Issue number	4
DOIs	https://doi.org/10.1097/01.ASW.0000553596.11034.d7
State	Published - 1 Apr 2019

Bibliographical note

Funding Information:
In Seoul, South Korea, Yeseul Eom, MD, is a resident in the Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine; and Kyong-Je Woo, MD, PhD, is an assistant professor, Department of Plastic Surgery, Mokdong Hospital, College of Medicine, Ewha Womans University. Acknowledgments: This work was supported by the Ewha Womans University Research Grant of 2017. The authors have disclosed no other financial relationships related to this article. Submitted April 30, 2018; accepted in revised form June 25, 2018.

Publisher Copyright:
© 2019 Wolters Kluwer Health, Inc. All rights reserved.

Keywords

bacteria-binding mesh
extracorporeal membrane oxygen
lymphorrhea
negative-pressure wound therapy
skin necrosis
vessel exposure
wound complications
wound healing

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10.1097/01.ASW.0000553596.11034.d7

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title = "Negative-Pressure Wound Therapy for Managing Complicated Wounds at Extracorporeal Membrane Oxygenation Sites",

abstract = "OBJECTIVE: To evaluate the effectiveness of negative-pressure wound therapy (NPWT) for management of wound complications at extracorporeal membrane oxygenation (ECMO) removal sites. METHODS: The authors retrospectively reviewed patients who underwent NPWT at ECMO removal sites followed by the development of wound complications including skin necrosis, lymphorrhea, and femoral vessel exposure. A nonadhesive bacteria-binding mesh was used as a wound contact layer of NPWT application. Patient characteristics and clinical outcomes were evaluated. RESULTS: Nine patients underwent NPWT for complicated wounds at ECMO sites. The mean age of patients was 49.2 years (range, 14-64 years). All patients exhibited wound complications with lymphorrhea and skin necrosis. Seven of nine patients had wound cultures that were positive for microorganisms, but culture conversion to negative was achieved after NPWT application for a mean period of 21.2 days (range, 12-30 days). Lymphorrhea was successfully managed, and formation of fresh granulation tissue was observed in all patients. Wound healing either by primary closure, skin graft, or secondary healing was achieved without recurrence of wound complications. There were no cases of femoral vessel injury or aneurysm during NPWT application. CONCLUSIONS: Negative-pressure wound therapy appears to be a safe and effective treatment option in the management of complicated wounds at ECMO sites.",

keywords = "bacteria-binding mesh, extracorporeal membrane oxygen, lymphorrhea, negative-pressure wound therapy, skin necrosis, vessel exposure, wound complications, wound healing",

author = "Yeseul Eom and Woo, {Kyong Je}",

note = "Funding Information: In Seoul, South Korea, Yeseul Eom, MD, is a resident in the Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine; and Kyong-Je Woo, MD, PhD, is an assistant professor, Department of Plastic Surgery, Mokdong Hospital, College of Medicine, Ewha Womans University. Acknowledgments: This work was supported by the Ewha Womans University Research Grant of 2017. The authors have disclosed no other financial relationships related to this article. Submitted April 30, 2018; accepted in revised form June 25, 2018. Publisher Copyright: {\textcopyright} 2019 Wolters Kluwer Health, Inc. All rights reserved.",

year = "2019",

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language = "English",

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AU - Eom, Yeseul

AU - Woo, Kyong Je

N1 - Funding Information: In Seoul, South Korea, Yeseul Eom, MD, is a resident in the Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine; and Kyong-Je Woo, MD, PhD, is an assistant professor, Department of Plastic Surgery, Mokdong Hospital, College of Medicine, Ewha Womans University. Acknowledgments: This work was supported by the Ewha Womans University Research Grant of 2017. The authors have disclosed no other financial relationships related to this article. Submitted April 30, 2018; accepted in revised form June 25, 2018. Publisher Copyright: © 2019 Wolters Kluwer Health, Inc. All rights reserved.

PY - 2019/4/1

Y1 - 2019/4/1

N2 - OBJECTIVE: To evaluate the effectiveness of negative-pressure wound therapy (NPWT) for management of wound complications at extracorporeal membrane oxygenation (ECMO) removal sites. METHODS: The authors retrospectively reviewed patients who underwent NPWT at ECMO removal sites followed by the development of wound complications including skin necrosis, lymphorrhea, and femoral vessel exposure. A nonadhesive bacteria-binding mesh was used as a wound contact layer of NPWT application. Patient characteristics and clinical outcomes were evaluated. RESULTS: Nine patients underwent NPWT for complicated wounds at ECMO sites. The mean age of patients was 49.2 years (range, 14-64 years). All patients exhibited wound complications with lymphorrhea and skin necrosis. Seven of nine patients had wound cultures that were positive for microorganisms, but culture conversion to negative was achieved after NPWT application for a mean period of 21.2 days (range, 12-30 days). Lymphorrhea was successfully managed, and formation of fresh granulation tissue was observed in all patients. Wound healing either by primary closure, skin graft, or secondary healing was achieved without recurrence of wound complications. There were no cases of femoral vessel injury or aneurysm during NPWT application. CONCLUSIONS: Negative-pressure wound therapy appears to be a safe and effective treatment option in the management of complicated wounds at ECMO sites.

AB - OBJECTIVE: To evaluate the effectiveness of negative-pressure wound therapy (NPWT) for management of wound complications at extracorporeal membrane oxygenation (ECMO) removal sites. METHODS: The authors retrospectively reviewed patients who underwent NPWT at ECMO removal sites followed by the development of wound complications including skin necrosis, lymphorrhea, and femoral vessel exposure. A nonadhesive bacteria-binding mesh was used as a wound contact layer of NPWT application. Patient characteristics and clinical outcomes were evaluated. RESULTS: Nine patients underwent NPWT for complicated wounds at ECMO sites. The mean age of patients was 49.2 years (range, 14-64 years). All patients exhibited wound complications with lymphorrhea and skin necrosis. Seven of nine patients had wound cultures that were positive for microorganisms, but culture conversion to negative was achieved after NPWT application for a mean period of 21.2 days (range, 12-30 days). Lymphorrhea was successfully managed, and formation of fresh granulation tissue was observed in all patients. Wound healing either by primary closure, skin graft, or secondary healing was achieved without recurrence of wound complications. There were no cases of femoral vessel injury or aneurysm during NPWT application. CONCLUSIONS: Negative-pressure wound therapy appears to be a safe and effective treatment option in the management of complicated wounds at ECMO sites.

KW - bacteria-binding mesh

KW - extracorporeal membrane oxygen

KW - lymphorrhea

KW - negative-pressure wound therapy

KW - skin necrosis

KW - vessel exposure

KW - wound complications

KW - wound healing

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U2 - 10.1097/01.ASW.0000553596.11034.d7

DO - 10.1097/01.ASW.0000553596.11034.d7

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AN - SCOPUS:85063266139

SN - 1527-7941

VL - 32

SP - 183

EP - 189

JO - Advances in Skin and Wound Care

JF - Advances in Skin and Wound Care

IS - 4

ER -

Negative-Pressure Wound Therapy for Managing Complicated Wounds at Extracorporeal Membrane Oxygenation Sites

Abstract

Bibliographical note

Keywords

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