Use of Reticulated Open Cell Foam Dressings With Through Holes During Negative Pressure Wound Therapy With Instillation: A Large Case Study

Purpose: We report our experience using NPWTi-d with ROCF-CC dressings in 19 patients with complex wounds.

Method: Eight of the 19 patients underwent sharp debridement. Oral and/or intravenous antibiotic treatment was initiated in patients as needed. All patients received NPWTi-d with ROCF-CC with instillation of quarter strength Dakin’s solution, hypochlorous solution, or saline with a dwell time of 5-10 minutes, followed by 2-3.5 hours of continuous negative pressure at -125 mmHg. Dressing changes occurred every 2-3 days. Ten males and 9 females with an average age of 58.2 ± 15.1 years were treated. Common patient comorbidities included hypertension, diabetes, obesity, and paraplegia. Wound types treated included pressure injuries, traumatic wounds, and surgical wounds. The average length of NPWTi-d use was 9.5 ± 4.1 days.

Results: In all patients, wound beds showed the development of healthy granulation tissue following NPWTi-d. All patients were discharged from care to another hospital facility, skilled nursing facility, long-term acute care facility, or home.

Conclusion: In my clinical practice, NPWTi-d with ROCF-CC provided effective and rapid removal of the thick exudate and infectious materials and promoted excellent development of underlying granulation tissue.

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