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. 2013 Dec;132(6):1569-1579.
doi: 10.1097/PRS.0b013e3182a80586.

Negative-pressure wound therapy with instillation: international consensus guidelines

Paul J Kim  1 , 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
Affiliations

Negative-pressure wound therapy with instillation: international consensus guidelines

Paul J Kim et al. Plast Reconstr Surg. 2013 Dec.

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.

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