Negative-pressure wound therapy with instillation: International consensus guidelines

Paul J. Kim, Christopher E. Attinger, John S. Steinberg, Karen K. Evans, Burkhard Lehner, Christian Willy, Larry Lavery, Tom Wolvos, Dennis Orgill, William Ennis, John Lantis, Allen Gabriel, Gregory Schultz

Research output: Contribution to journalArticle

49 Scopus citations

Abstract

BACKGROUND: Negative-pressure wound therapy with instillation is increasingly utilized as an adjunct therapy for a wide variety of wounds. Despite its growing popularity, there is a paucity of evidence and lack of guidance to provide effective use of this therapy. METHODS: A panel of experts was convened to provide guidance regarding the appropriate use of negative-pressure wound therapy with instillation. A face-to-face meeting was held where the available evidence was discussed and individual clinical experience with this therapy was shared. Follow-up communication among the panelists continued until consensus was achieved. The final consensus recommendations were derived through more than 80 percent agreement among the panelists. RESULTS: Nine consensus statements were generated that address the appropriate use of negative-pressure wound therapy with instillation. The question of clinical effectiveness of this therapy was not directly addressed by the consensus panel. CONCLUSION: This document serves as preliminary guidelines until more robust evidence emerges that will support or modify these consensus recommendations.

Original languageEnglish (US)
Pages (from-to)1569-1579
Number of pages11
JournalPlastic and reconstructive surgery
Volume132
Issue number6
DOIs
StatePublished - Dec 2013

ASJC Scopus subject areas

  • Surgery

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    Kim, P. J., Attinger, C. E., Steinberg, J. S., Evans, K. K., Lehner, B., Willy, C., Lavery, L., Wolvos, T., Orgill, D., Ennis, W., Lantis, J., Gabriel, A., & Schultz, G. (2013). Negative-pressure wound therapy with instillation: International consensus guidelines. Plastic and reconstructive surgery, 132(6), 1569-1579. https://doi.org/10.1097/PRS.0b013e3182a80586