Initial Experience with a Novel Negative Pressure Wound Therapy Peel and Place Dressing in Lower Extremity Wounds

Introduction: The application of negative pressure wound therapy to support healing of lower extremity wounds is well-documented.1 A recently available multilayer peel and place dressing (MPPD) incorporates a perforated non-adherent layer, reticulated open cell foam dressing, and a hybrid acrylic and silicone drape, which enable it to be placed over the wound and surrounding intact skin. In this case series, we report the outcomes of application of NPWT with MPPD in 4 patients with lower extremity wounds.Methods:Deidentified data was collected after obtaining informed patient consent and stored in accordance with federal regulations. Patients had injuries to the foot or lower leg and received NPWT with MPPD at -125 mmHg for 10 days, with dressing changes conducted on day 5.Results:Two male and two female patients, ages 40 to 80 years old, were included in the study. Wound etiologies included surgical wounds, a traumatic injury, and a decubitus ulcer. After 10 days of therapy, the wounds showed notable improvement and there was a significant reduction of periwound edema. We observed no periwound maceration in 3 patients; in the fourth, maceration was noted at the first dressing change and resolved after negative pressure was increased to 150 mmHg.Discussion: The new NPWT dressing performed as expected, removing exudate and creating an environment conducive to wound healing. Application of the MPPD dressing was quick and easy, requiring only minimal trimming or shaping of the drape.References:1. Capobianco CM, Zgonis T. An overview of negative pressure wound therapy for the lower extremity. Clin Podiatr Med Surg. 2009;26(4):619-631. doi:10.1016/j.cpm.2009.08.002