Use of a Novel Negative Pressure Peel and Place Dressing in Lower Leg Wounds

Introduction: Negative pressure wound therapy (NPWT) typically requires dressing changes every 2 to 3 days. A novel dressing has been developed that incorporates a fenestrated, non-adherent layer and negative pressure drape into the dressing design allowing for up to seven days of wear. Use of this peel and place dressing* in three patients with lower leg wounds is presented.Methods:Systemic antibiotics were given as necessary. Patients underwent sharp debridement prior to application of the peel and place dressing if needed. Dressing changes occurred every 4 to 7 days. Upon dressing removal, all wounds were cleansed using a hypochlorous solution and gently patted dry.Results:Three patients (age range 66-83 years) presented for care. Wound types included surgical dehiscence (n=1) and Wagner Grade 3 diabetic foot ulcers (n=2). Patient comorbidities included diabetes, hypertension, atrial fibrillation, and previous osteomyelitis. Prior treatment included traditional NPWT or petrolatum impregnated gauze. Wounds were present from 20 to 116 days. Dressing applications were simple, taking approximately two minutes to complete. None of the patients reported any pain at dressing application or dressing change. Granulation tissue development and wound size reduction was noted in all patients. Mild periwound maceration was observed in one patient, most likely due to non-compliance with offloading and diaphoresis.Discussion: Use of NPWT with the novel peel and place dressing for wound management resulted in increased granulation tissue development and wound size reduction in all patients. The dressing design simplified dressing application, allowing for less time needed for dressing changes. Patients did not report any pain during dressing application or removal.References:Pollack SV. The wound healing process. Clin Dermatol. 1984;2(3):8-16. doi:10.1016/0738-081x(84)90022-1