Utilizing Instilling Negative Pressure Wound Therapy with Vashe Wound Solution for an Infected Sternal Dehiscence: A Case Report — Oak Academic Publishing
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Utilizing Instilling Negative Pressure Wound Therapy with Vashe Wound Solution for an Infected Sternal Dehiscence: A Case Report
Valleywise Medical Center, Department of Surgery, Phoenix, Arizona
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Valleywise Medical Center, Department of Surgery, Phoenix, Arizona
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Valleywise Medical Center, Department of Surgery, Phoenix, Arizona
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Valleywise Medical Center, Department of Surgery, Phoenix, Arizona
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Valleywise Medical Center, Department of Surgery, Phoenix, Arizona
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Department of Surgery, Division of Trauma Surgery/Surgical Critical Care, University of Texas Health Science Center, Tyler, Texas
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Plastic Surgery, Department of Surgery, University of Texas Southwestern, Dallas, Texas
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University of Arizona & Creighton University Schools of Medicine, The Arizona Burn Center, Phoenix, Arizona
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The University of Texas, Tyler School of Medicine Endowed Chair in Trauma Surgery, Tyler, Texas
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Trauma Wound Care, UT Health East, Tyler, Texas
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Department of Surgery, University of Texas Medical Branch, Galveston, Texas
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Medicine and Nursing, University of Texas, Arlington, Texas
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Department of Medical Education Health Science Center, Tyler, Texas
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Department of Physician Assistant Studies, School of Health Professions, University of North Texas, Fort Worth, Texas
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ACS National Committee on Trauma, Chicago, USA
1 Valleywise Medical Center, Department of Surgery, Phoenix, Arizona
2 Valleywise Medical Center, Department of Surgery, Phoenix, Arizona
3 Valleywise Medical Center, Department of Surgery, Phoenix, Arizona
4 Valleywise Medical Center, Department of Surgery, Phoenix, Arizona
5 Valleywise Medical Center, Department of Surgery, Phoenix, Arizona
6 Department of Surgery, Division of Trauma Surgery/Surgical Critical Care, University of Texas Health Science Center, Tyler, Texas
7 Plastic Surgery, Department of Surgery, University of Texas Southwestern, Dallas, Texas
8 University of Arizona & Creighton University Schools of Medicine, The Arizona Burn Center, Phoenix, Arizona
9 The University of Texas, Tyler School of Medicine Endowed Chair in Trauma Surgery, Tyler, Texas
10 Trauma Wound Care, UT Health East, Tyler, Texas
11 Department of Surgery, University of Texas Medical Branch, Galveston, Texas
12 Medicine and Nursing, University of Texas, Arlington, Texas
13 Department of Medical Education Health Science Center, Tyler, Texas
14 Department of Physician Assistant Studies, School of Health Professions, University of North Texas, Fort Worth, Texas
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.
KeywordsNegative Pressure Wound Therapy with InstillationNPWTNPWTiNPWT with DwellHypochlorous AcidVashe Wound SolutionSternal Dehiscence
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