TITLE:
Utilizing Instilling Negative Pressure Wound Therapy with Vashe Wound Solution for an Infected Sternal Dehiscence: A Case Report
AUTHORS:
Linnea T. Mauro, Courtney M. Janowski, Mariah J. Janowski, Adalberto C. Gonzalez, Eugene J. Sidoti, Luis G. Fernandez, Paul J. Kim, Marc R. Matthews
KEYWORDS:
Negative Pressure Wound Therapy with Instillation, NPWT, NPWTi, NPWT with Dwell, Hypochlorous Acid, Vashe Wound Solution, Sternal Dehiscence
JOURNAL NAME:
Surgical Science,
Vol.14 No.3,
March
29,
2023
ABSTRACT: Utilization of negative pressure wound therapy with instillation (NPWTi)
for sternal dehiscence wounds secondary to sternal wound infection after
surgery has become an accepted therapy. NPWTi accelerates wound healing through
macrostrain, microstrain, and cyclic fluid instillation. Wounds benefit from
additional superficial infection control with the removal of microorganisms,
the release of proinflammatory mediators, stimulation of angiogenesis, as well
as mechanical debridement. However, very few cases of utilizing NPWTi in the
treatment of sternal wound infections have been reported in the
literature. This case study describes
the use of NPWTi with hypochlorous acid for the treatment of a sternal wound
infection.