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Vet Comp Orthop Traumatol 2015; 28(01): 30-38
DOI: 10.3415/VCOT-14-05-0076
Original Research
Schattauer GmbH

Negative pressure wound therapy, silver coated foam dressing and conventional bandages in open wound treatment in dogs

A retrospective comparison of 50 paired cases
M. C. Nolff
1   Ludwig-Maximilians University, Clinic for Small Animal Surgery and Reproduction, Munich, Germany
,
M. Fehr
2   University of Veterinary Medicine Hanover, Foundation, Small Animal Clinic, Hanover, Germany
,
A. Bolling
2   University of Veterinary Medicine Hanover, Foundation, Small Animal Clinic, Hanover, Germany
,
R. Dening
2   University of Veterinary Medicine Hanover, Foundation, Small Animal Clinic, Hanover, Germany
,
S. Kramer
2   University of Veterinary Medicine Hanover, Foundation, Small Animal Clinic, Hanover, Germany
,
S. Reese
3   Ludwig-Maximilians University, Department for Basic Veterinary Sciences, Munich, Germany
,
A. Meyer-Lindenberg
1   Ludwig-Maximilians University, Clinic for Small Animal Surgery and Reproduction, Munich, Germany
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Received:21. Mai 2014

Accepted:06. November 2014

Publikationsdatum:
26. Dezember 2017 (online)

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Summary

Objectives: To evaluate negative pressure wound therapy (NPWT) for treatment of complicated wounds in dogs.

Study type: Retrospective multicentre study.

Materials and methods: Dogs (n = 50) undergoing open wound treatment were classified according to treatment method used: bandage (Group A, n = 7), NPWT (Group B, n = 18), and foam dressing (Group C, n = 25). Pairs of patients matched based on wound conformation, localization, and underlying cause were compared between Group A and C (n = 7 pairs) and between groups B and C (n = 18 pairs) in terms of duration of previous treatment, time to closure, and complications.

Results: Signalment, antibiotic medications, antiseptic treatment, and bacterial status of wounds were comparable between groups. The duration of previous treatment was significantly higher in patients assigned to Group B (p = 0.04) compared to Group C, while no significant difference was found between groups A and B. Total time to wound closure was significantly shorter in Group C compared to Group A (p = 0.02) and in Group B compared to Group C (p = 0.003). Wounds treated with NPWT suffered significantly less complications (p = 0.008) and were significantly less septic during treatment (p = 0.016) than wounds treated with a foam dressing.

Conclusion: This study shows that time to healing was halved in NPWT treated patients compared to foam dressing treated patients, which in turn healed faster than patients treated with conventional bandage, underlining the value of NPWT therapy for the treatment of complicated wounds.

Keywords

Negative pressure wound therapy - foam dressing - bacterial wound contamination - open wound management - wound bed preparation

 

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