Abstract
Background. The macroporous polyurethane ether foam was introduced in the medical field, as early as the 90 ties, for the Vacuum-assisted closure (V.A.C.) of a wound. We describe our experience after treating abdominal wound dehiscence in a group of elderly gynecological patients with NPWT (Negative Pressure Wound Therapy), using ether foam coated with a silver layer. We reviewed elderly patients chart data that underwent abdominal surgery complicated with wound dehiscence treated with VAC for eighteen months. In all patients, the system used was the standard GranuFoam Silver dressing (different extents), which was usually replaced every 48/72 h. A total of 15 consecutive female patients were included. The median age was 67.3 (58-71) years. Duration of VAC treatment was median 14.2 (11-34) days, and we saw an improvement in wound repair but also clearance of S.S.I. on the third day after applying V.A.C. Ulta. Definitive secondary closure of the wound was obtained in all patients, as the infection�s site clearance. The abdominal VAC treatment with GranuFoam Silver dressing in patients with infected abdominal wound dehiscence is safe and has proper patient compliance. The latest evolution of the silver foam polyether dressing, in conjunction with NPWT therapy, offers a better antimicrobial effect and shorter healing stage.
Highlights
The Polyether-Based Urethane Polymers are the plastic compounds from the polyurethane ether foam
Our study aims to describe the results obtained after V.A.C. therapy in a group of elderly gynecological patients
Our study population consisted of 15 female patients who underwent abdominal surgery at Elias Emergency Hospital, with an average age of 67.3 (58-71) years
Summary
The Polyether-Based Urethane Polymers are the plastic compounds from the polyurethane ether foam. It stands out as an open-cell structure foam, penetrable by fluids, and air. The open-cell polyurethane ether foam, with a pore size of 400-600 micrometers, is used in the medical field, as early as the 90 ties, for the Vacuum-assisted closure (V.A.C.) of a wound [1,2]. The macroporous polyurethane ether foam was introduced in the medical field, as early as the 90 ties, for the Vacuum-assisted closure (V.A.C.) of a wound. We describe our experience after treating abdominal wound dehiscence in a group of elderly gynecological patients with NPWT (Negative Pressure Wound Therapy), using ether foam coated with a silver layer. The latest evolution of the silver foam polyether dressing, in conjunction with NPWT therapy, offers a better antimicrobial effect and shorter healing stage
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