Topical negative-pressure wound therapy: emerging devices and techniques

Expert Rev Med Devices. 2020 Feb;17(2):139-148. doi: 10.1080/17434440.2020.1714434. Epub 2020 Jan 20.

Abstract

Introduction: The treatment of chronic wounds constitutes a massive financial burden to society and our health-care system. Therefore, efficient wound care is of great importance to all kinds of medical fields. The implementation and modification of negative-pressure wound therapy can be seen as a major improvement in wound healing. Many different NPWT applications evolved trying to address various wound etiologies.Areas covered: This review aims to give an overview of various NPWT applications, show its effects on wound healing, and discuss future modifications.Expert opinion: NPWT as a delivery device for cold plasma, growth factors, or targeted stem cells to the wound bed and the ability to monitor the inflammatory activity, bacterial load and wound healing factors can be seen as possible future steps to individualized wound care. In addition, it requires high-quality experimental studies to develop the ideal foam in terms of microstructure, pore size, and material properties.

Keywords: Medical device; future applications; negative pressure wound therapy; wound coverage; wound management; wounds.

Publication types

  • Review

MeSH terms

  • Bacteria
  • Humans
  • Negative-Pressure Wound Therapy / instrumentation*
  • Wound Healing