V.A.C. VERAFLO™ Therapy
case study competition
Deadline for entries:
Friday 6th December 2019

Clara Maino, Daniela Villa, Chiara Bernabò Vincenzo Bergamo, Annamaria Raimondi Ambulatorio Ferite Difficili / DPS ASST Monza – via Pergolesi 33 20900 Monza [email protected] Case study Female, 49 years old affected by Rheumatoid Arthritis treated chronically with steroids. We have been consulted for severe deep ulcerated lesions of both legs starting from indolent blisters, involving […]

Clara Maino, Daniela Villa, Chiara Bernabò Vincenzo Bergamo, Annamaria Raimondi Ambulatorio Ferite Difficili / DPS ASST Monza – via Pergolesi 33 20900 Monza [email protected] Case study We observed an heroin addicted 55 years old man admitted urgently in Neurosurgical Unit for spondylodiscitis (acute urinary ritention, severe back pain, legs hypostenia) with extensive leg ulcers due […]

Introduction An 86-year-old male had been admitted for an elective second stage hip revision. His medical history consisted of IHD, CCF, TIA, osteoporosis, hypercholesterolemia and hypothyroidism. Surgical history was a previous left total hip replacement complicated by infection and removal of prosthesis. Medications included Cholecalciferol, Rosuvastatin, Levothyroxine Sodium, Paracetamol, Loratadine and Ciprofloxacin. Patient He had […]

Introduction:  A 66 year old male patient who is a paraplegic for many years admitted with a pressure sore to the left hip. Initially ungradeable. This man had a flap reconstruction to the area many years previously. Following an injury and subsequent pressure, he developed the pressure sore to the left hip. This was being […]

Case Study Infected Caesarian section wounds are not particularly unusual. This report, however, highlights one such wound, which was more complex than usual and discusses the unique management style employed at the Cape Advanced Wound Care Centre. The “Debridement, Optimisation and Surgical Closure” method used has proved successful in most patients treated at this facility. […]

  Introduction Cadherin-1 is a protein that is encoded by the gene CDH1. Inherited inactivating mutations of CDH1 are associated with an increased risk of hereditary diffuse gastric cancer (approximately 70% life-time risk) and lobular breast cancer (approximately 40-50% life-time risk). Prophylactic gastrectomy and mastectomies are often recommended to reduce this risk (1). The VAC […]

NPWT i-d IN COMBINED SURGICAL TREATMENT FOR FOURNIER’S DISEASE Baglioni E.A MD§, Destefanis P. MD PhD *, Isaija I M.D. §, Russo A. #, Gianfala A. M.D§, Bernuzzi E M.D §, Bruschi S M.D. and Bocchiotti M.A. M.D.§. § Plastic Surgery Department, University of Turin Città della salute e della Scienza di Torino *Urology Department, […]

ABSTRACT: Pressure sores are lesions resulting from tissue ischemia secondary to compression over a bony prominence. This case demonstrates the presence of sacral pressure ulcer with secondary infection in a bedridden patient with multiple comorbidities and high anesthetic risk as well as its management, using the aid of negative pressure wound therapy with instillation and […]

A 63 year old female presenting with a hard-to-heal polymicrobial chronic wound on the right lateral leg.  Previous history of bilateral forefoot amputations. Patient has had a history of chronic venous ulceration for the last 7 years and developed the new ulcer after falling at home with subsequent haematoma formation and necrosis 3 months ago.  […]

IntroductionA pressure ulcer is injury to the skin or underlying tissue due to the effects of pressure and or sheer (EPUAP, 2016). They can potentially occur in any individual, healthy or ill, young or old who sustains significant or sustained pressure and sheer forces. The prevalence of pressure ulcers in Ireland is 15%, ranging from […]

Introduction: A 34 year old lady (Table 1) admitted from a tertiary hospital with sepsis secondary to stage 4 pressure ulcers to bilateral heels. On examination of feet all soft tissue was displaced off bone posteriorly and medial laterally down to bone with significant wet necrosis (Fig. 1). Bilateral dorsalis pedis pulses were present on […]

Introduction: In 2010 = 200 million people world wide with Peripheral Arterial disease including Europe ((Lajoie,2019) Over 170 million people world wide have Diabetes & 366 million by 2030 (Thiruvoipati, T. et al . 2015) Contributing Factors Diabetes(Berg,2018) Smoking Hypertension ↑ Cholesterol Age/Male (≥60 y/o) Obesity/(Mohler and M, 2017)(Fowkes et al., 2013) \’NPWT creates an […]

Introduction:  76 year old female admitted on 28.05.19.  District Nurses requested admission to hospital after patient developed small black blistered area under R) knee measuring 2cm (L) x 1.5cm (W).  The patient contacted them the following day as it had deteriorated rapidly extending over the front of her right leg measuring approximately 9cm (L) x […]

Introduction: The utilization of Negative Pressure Wound Therapy with instillation and dwell (NPWTi-d) has been available since 2013 and has shown to improve patient outcomes when compared to standard negative pressure wound therapy.1 The introduction of a new reticulated open cell foam with through holes (ROCF-CC) has expanded the use of this therapy to wounds […]

V.A.C. VeraFlo ™ Therapy with two different types of fillers in temporal succession in the management of an infected venous vascular lesion of the lower limb: V.A.C. VERAFLO CLEANSE CHOICE ™, V.A.C. VERAFLO ™ Dressing Infected Venous Vascular Lesion of the lower limb Colognese Stefano, Wound Care Specialist RN MSc Azienda USL, Presidio Ospedaliero ASMN-IRCCS, […]

Necrotising fasciitis A 50 year old female presented to Emergency Department (ED), with a large area of cellulitis to abdominal apron spreading towards umbilicus, malodourous and purulent exudate. Hx: Bells palsy, T2DM – previously diet controlled, High BMI 140kgs, Current smoker, Social Hx: Married with children – supportive family, Full time work in public service. […]

Management of Chronic Mesh Infection with Negative Pressure Wound Therapy with Instillation and Dwell Time (NPWTi-d): a Case Report VP Alberts1, MA Boermeester1 1Department of Surgery, Amsterdam University Medical Center, The Netherlands Authors report no conflicts of interest Word count: 1045 Academic Medical Center, Meibergdreef 9, 1100AZ, Amsterdam, The Netherlands. Corresponding author: Victor P Alberts, […]

Published: 4th December 2019 Author(s): Chris Paton, Alison Sims & Leanne Gane Case Study: This case study followed the care and treatment of a 61 year old patient who was admitted due to probable / possible sepsis, attributed to lower leg ulceration. The patient had a past medical history of Type 2 Diabetes with Diabetic Retinopathy, […]

Veraflo® therapy: Therapy with instillation: regarding a case Carmen Rodriguez Saavedra and Núria Viader Vives Qualified nurses. Hospital de Palamós Introduction Negative pressure therapy (NPT) with instillation offers an important advance for the management of complex open wounds by associating the instillation of a topical solution to the benefits of NPT. Patient 79-year-old woman admitted […]

Introduction:  A 47 year old male with Type 1 Diabetes Mellitus, presented with a severe infection to his left foot. He sustained an injury to his foot after he stood on a nail which penetrated between his 3rd and 4th toes. He presented to his local hospital with concern of infection but was discharged on […]

Patient: Der Patient, ein 54 – jähriger Mann, in reduziertem Allgemeinzustand und einem langjährigen C2 und Nikotin Abusus wurde am 29.05.2019 einer radikalen Penektomie bei Peniskarzinom unterzogen.  Weitere Untersuchungen ergeben auch einen Befund der Lymphknoten der Leisten. Überblick: 07.19 Lymphadenktomie OP Entwicklung einer Wundheilungsstörung 08.19 Beginn V.A.C. VeraFlo NPWTiD 10 Tage, 3 Zyklen Cleanse Choice […]

Institution: Gza hospitals City/Country : Antwerp, Belgium.   Koen Cortebeeck, wound care nurse, Declaration of Interests The author declares that he has no competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Case Presentation This case concerns a 35 year old patient with ecchymosis lateral above […]

Case Study: DM foot ulcer with osteomyelitis and multiple abscesses resulting in ray amputation- multiple OR debridement I and D Patient: 60 y/o female admitted to hospital on April ,2019. Her weight, 88.4 kg, height 170 cm, BMI 32.3. PMH: ESRD on dialysis, IDDM, CAD with stents, Hyperlipidemia, DM neuropathy. Patient initially noticed a blister […]

case study KCI Authors:Traïka Desmet, Heidi Weedaege: Wound care nurses, BelgiumIntroduction:On November 20 2019 a 86 year old female is admitted due to a wound on the left lower leg (more specifically the calf).The injury was considered as a complication after a locoregional anesthetic technique (popliteal block), possibly caused by the puncture or possibly a […]

Mr C was a 64-year-old gentleman admitted with an infected abscess to the right calf. He had a history of long-term intravenous drug use and had previous hospital admissions involving multiple surgical debridements of the same site following injection of drugs. His past medical history included COPD, Hepatitis C, Chronic bilateral venous leg ulceration, smoker. […]

Introduction: Global incidence of diabetes has imminently increased in the last 30 years, with nearly 422 million adults worldwide now diagnosed with the disease, increasing global prevalence from 4.7% to 8.5% (WHO, 2016). Within the diabetic population, the incidence of DFUs has been reported to be between 4% and 10%, with a one-in-four risk of […]

Introduction: Necrotizing fasciitis (NF), commonly known as flesh-eating disease, is an infection that results in the death of parts of the body’s soft tissue (1). Necrotizing fasciitis is most commonly caused by an infection with group A Streptococcus (5). It is a severe disease of sudden onset that spreads rapidly (1). Symptoms include red or purple skin in the affected area, severe pain, fever, […]

This is a case of a 75-year-old male with an extensive chronic venous ulcer of the right cruris that covered approximately two thirds of his right cruris for 7 years. It was etiologically connected to post-thrombotic syndrome, a consequence of poorly recanalized femoro-popliteal deep venous thrombosis (open fracture and osteosynthesis of the right ankle in […]

Author: Miloš Potkonjak, MD; General Hospital Novo mesto (Slovenia) CASE STUDY chronic wound – Syndroma Leriche,                                   Amputatio femoris bill,                                      DM II, MRSA, […]

A 67- years- old lady was referred to the wound clinic with a chronic wound. She had a wound on her right leg for 15 years and had a history multiple wound infection, she was trialled on so many dressings with no success. She had a medical history of congestive cardiac failure, MRSA and Pseudomonas […]

Abstract Knowledge of pressure injuries (PI), although not always known as pressure injuries, have been with us for a very long time. A Millicent Ashdown in her Complete system of Nursing  talks about their symptoms and treatment  back in 1917. With the advancement of modern medicine, the number of these injuries  in our district have […]

Summary A 59yo female underwent explantation of an infected ileo-femoral bypass with deep femoral vein harvest for reconstruction. This was complicated by a haematoma requiring evacuation. Closure was thus achieved by secondary intention. High dose broad spectrum antibiotic cover created a heavily yeast colonised large thigh wound. V.A.C. Veraflo™ was used for the successful debridement, […]

Leonardo Monte Razo Plastic surgeon Fluminense Federal University Professor Coordinator of the Plastic Surgery Service at Hospital Rios Dor Introduction The prevalence of complex wounds is directly associated with trauma in large urban centers and the aging of the general population. They have received more and more attention from health managers, concerned about the impact […]

MANAGEMENT OF A PATIENT WITH AN INFECTED BELOW KNEE AMPUTATION STUMP USING VAC VERAFLO THERAPY Published: November 18, 2019 Authors: Natalja Grohmann, Sabine Stasko Department of Vascular Surgery, Klinikum St. Marien, Amberg   CASE STUDY We report on a 62-years-old male patient with a case of PAD-related right below knee amputation, diabetes mellitus, art. hypertension, […]

Mr Mark Kim, Clinical Nurse Educator, St Vincent’s Hospital Introduction: This case study highlights the effectiveness of negative pressure wound therapy with instillation in preparing a wound bed for skin grafting in a patient with poor wound healing ability. Patient History: 51 yo male with chronic bilateral lower limb cellulitis and lymphoedema with poor compliance. […]

Maud Vanderbrugghe1, cadre de santé DSAP,  Dr Hélène Esnault2, PHC Orthogériatre Dr François Raimbault1, PH, gériatre, Dr Nathalie Faucher2, PH, gériatre 1 Hôpital Bretonneau, APHP-NORD- Université de Paris, France 2 Hôpital Bichat Claude Bernard, APHP-NORD- Université de Paris, France Introduction : La thérapie par pression négative est utilisée depuis plusieurs années dans notre service. Depuis peu, […]

Patient: An 18 year old male was found collapsed face down in the garden with multiple stab wounds to his head, neck thorax and back. On arrival by the paramedics and physician staffed retrieval service, there was evidence of massive blood loss. IV access was obtained and pressure applied to the bleeding sites. The patient […]

V.A.C. VeraFlo™ Therapy with three different types of fillers in temporal succession: V.A.C. VERAFLO CLEANSE CHOICE™, V.A.C. VERAFLO CLEANSE™, V.A.C. VERAFLO™ Dressing Post-Traumatic Necrotizing Fasciitis and infected wound Colognese Stefano, Wound Care Specialist RN MSc Azienda USL, Presidio Ospedaliero ASMN-IRCCS, Reggio Emilia, Italy, IT On January 22nd 2019 traumatic event: pedestrian hit by car. A […]

Negative Pressure Wound Therapy with Instillation (NPWTi) in Diabetic Infected Wounds: A Case Report Institution: SÃO PAULO ANGIOLOGY AND VASCULAR CENTER City/ Country: São Paulo, Brazil  Leite, Josiane Monteiro;  Guimarães, Paulo Celso Motta; Lorena, Maurício; Feitoza, Heidi. Introduction Major leg amputations have being the most terrible complication in diabetic patients, vast majority caused by infection […]

V.A.C. VERAFLO™ Therapy with V.A.C. VERAFLO CLEANSE™ Dressing Infected Sacral Pressure Ulcer Dr. Bernardo Silva Abad Silvia Abarca Wound Specialist Nurse Hospital San Diego, Cuernavaca, Morelos, Mexico A 35 year-old female presented with an infected sacral pressure ulcer after being bedridden for 15 days with dengue fever (Fig. 1). The patient has had diabetes type 2 […]

On Nov 26 2018 a 95 year old female is admitted due to a wound on the dosal side of her left foot, caused by trauma due to wheelchair (image 1). The GP already prescribed antibiotics several times, but the wound kept getting larger. The patient lives at a nursing home since 8 years, and […]

INTRODUCTION This case study follows the care and treatment of a patient and the management of a diabetic foot wound post debridement using V.A.C. VERAFLO™ with NPWTi-d (negative pressure wound therapy with instillation and a dwell time) to increase healing time. The patient is a 52-year-old 145kg male, long distance truck driver who presented with […]

Wouter Roosink, Master Physician Assistant (mpa), Department of surgery, Maasstad Hospital Rotterdam, The Netherlands  Introduction The following case will describe our journey together with miss K. In April of the year 2019 Miss K. underwent a Hartman procedure because of a complicated diverticulitis. As usual we placed a colon stoma during the Hartman procedure.  In […]

Introduction: Chronic wounds refer to wounds that fail to progress through an orderly and timely sequence of repair, where healing has not been realized in a predictable time frame (Widgerow, 2009:9).  Unfortunately with the burden of a Chronic wound debridement is commonly used in order to prepare the wound bed for possible healing.  This is […]

Nurse practitioner in trainee Marloes Waindrich, Isala Zwolle A 26-year-old man presents himself at the emergency room with a gunshot wound to the left upper leg. There is a distal femoral fracture to the left where some gunpowder is still in situ. Injury to the AFS and a lot of damage to soft tissue. Multiple […]

   Abstract Abu Dhabi 2020: CLINICAL STUDIES INCLUDING CASE SERIES AND CASE REPORTS Stéphanie Des Rosiers, RN, B.Sc., NSWOCC CHUM (Montreal University Hospital Center) Background and Aims Negative pressure wound therapy with instillation (NPWTi), especially with antimicrobial or antibiotic solutions, has been successful in sternum abscess post cardiac surgery, diabetic foot, necrosis cellulitis, microcirculation deficiency […]

Abstract: There are several published studies on the benefits of NPWTi and in our unit we routinely use NPWT with either gauze or sponge as the interface. What has been noticed as with the increased use of NPWT there is a build-up of slough over time in specific wounds, diabetic foot ulcerations post-operative femoral bypass […]

Introduction Necrotising fasciitis is a rapidly progressing often polymicrobial infection of the subcutaneous tissue and underlying fascia and is often triggered by, and rapidly spreads from, small lacerations on the affected area (Balci et al. 2018; Fink & DeLuca 2002). It is reported to be able to spread 1 inch per hour (Fink & DeLuca […]

Abstract This case study is to identify the appropriate use of Negative Pressure Wound Therapy (NPWT) for a patient who was identified as having Critical Limb Ischemia and underwent a lower limb amputation. It will show the best course of treatment for a deteriorating infected wound which resulted in graft removal and the final course […]

Introduction: We often wait to start V.A.C. therapy or we hesitate about which option is the best for the patient. In this case, we used many of the available tools in the V.A.C. therapy continuum to optimize healing and to avoid more important consequences such as amputation.  After only 14 dressing changes, we were able […]

Tiago Henrique Costa TREATMENT OF MYASIS INFESTATION WITH NEGATIVE PRESSURE WOUND THERAPY WITH INSTILLATION AND A DWELL TIME. ABSTRACT: Human myiasis is a common condition on our tropical environment, mostly related to pre-existing diseases and poor hygiene habits. Treatment protocols are poorly described, as are the specific advantages of some approaches. Partly because treatment mostly […]

INTRODUCTION: Major Amputations are a world wide problem not only because the high mortality reported after 5 years , even because the local complications that could cause an procedure related death if it is not treated properly and in time CASE PRESENTATION 84 years old Man with history of Medular syndrome after  a spine trauma […]

Introduction: Negative pressure wound therapy (NPWT) has been shown to be effective in the treatment of dehisced surgical wounds. This case study presents a patient whom had NPWT with instillation and the positive results it had in wound healing. Patient Profile:  A 65 year old gentleman had an elective hepatojejunostomy. The risks factors for this […]

Danijela Semenič, Kliment Dajoski, Ljupcho Gjorshevski, Miloš Macura, Tomaž Kastelec, NadjaAlikadič, Jana Wahl, Andrej Lapoša, Igor Frangež   Case Study Introduction: Negative-pressure wound therapy with instillation for complex soft tissue and bone infections is an important therapy in daily surgical practice. With addition of the topical antiseptic solution bacterial load is reduced and growth of […]

Application for the V.A.C. Veraflow-TM Therapy case study competition 2019 Authors: Dinko Salinovic M.D., Resident at the Department of General Surgery; Martin Waldner M.D., SeniorSurgeon at the Department of General Surgery (Mentor); DDr. med. Walther Tabarelli, Head of the Departmentof General Surgery IntroductionIt is a pleasure to take part in Your case study competition. In […]

Introduction. V.A.C. Verafloä Therapy is a well-known and quite well-established therapy in treating diabetic foot ulcers (DFU). It is known that the NPWT therapy with instillation improves the wound healing of granulation tissue. Especially in our department the `normal` V.A.C.â and the Verafloä therapy are used very often to treat DFU and other vascular wounds. […]

On 13.05.2019, the 83-year-old patient presented in our clinic, with 3 days existing pain and feeling of cold in the left lower leg. As secondary illnesses the patient had a kidney insufficiency with GFR of 48.4 ml / min, an atropical eczema as well as a pollen allergy. The early onset of VAC-vera-flo therapy quickly […]

Die Fournier-Gangrän Erfolgreiche Therapie mittels V.A.C. ULTA™ Unterdruck-Wundtherapie-System und VERAFLO CLEANSE CHOICETM Dressing Bei Z.n. Fournier-Gangrän wurde bei dem Patienten nach erfolgreicher Abszessfreilegung sowie ausgedehnter Weichteilresektion im linken Bereich des Skrotums ein V.A.C.®Therapy-System angelegt. Die Wunde konnte anschließend plastisch gedeckt werden und der Patient nach sehr kurzer Behandlungszeit mit blanden Wundverhältnissen entlassen werden. Einleitung Die […]

Introduction: Gentleman of 45 was admitted with swelling, pain and purpling of the groin area as well as feeling really unwell. The patient is also a smoker, alcoholic with peripheral vascular disease with a long history of intravenous drug use. The surgeons completed an assessment of the swelling and due to the infected necrosis, that […]

Introduction In our Department of Visceral Surgery, we provide medical care to a broad range of disease patterns One of the most challenging aspect in the clinical routine is the treatment of large-scale (extended) wounds. In order to avoid complications, as well as to reduce extended hospital stay, would healing disorder requires specific handling. Mr. […]

Abstract A 71-year-old female was transferred to a tertiary trauma centre in Brisbane 5 days post crush injury to bilateral lower limbs after being rolled over by a four-wheel drive. She had extensive circumferential degloving with heavy contamination and fascial defects, and a breach in the right knee joint capsule with exposed joint prosthesis. The […]

V N Panicker 1, 2, S Chaudhary 2 M J Chehade1,3 S Badhrinarayanan 1Department of Orthopaedics and Trauma, Royal Adelaide hospital, 1 Port road Adelaide, S A 5000, Australia 2 Department of Plastic and Reconstructive Surgery, Royal Adelaide Hospital 1 Port Road, Adelaide 5000, Australia 3.Discipline of Orthopaedics and Trauma, Centre for Orthopaedic trauma and […]

KCI Medical Nurses Forum Poster Presentation – Carolyn W-V

Abstract This case study present a patient with an Unstageable Pressure Injury where surgical debridement was not an option as patient was considered too ill.  NPWTi using Cleanse Choice dressings demonstrated a positive result that facilitated softening and removal of thick eschar. The instillation therapy also reduced the inflammatory makers at the wound bed and […]

A 54-year-old man with no relevant medical history gets a blister during a soccer match on the right sole of his foot. Due to redness the GP prescribes antibiotic treatment, after which the wound is progressing. A week later new wounds appear on the foot and a local treatment and 2nd antibiotic treatment is started. […]

Introduction Management of an open abdomen continues to pose a challenge for surgeons. Multiple techniques for temporary abdominal closure have been described in the literature. Negative pressure wound therapy (NPWT) and synthetic or biologic repair materials are important tools in the management of open abdomen (1,2). It is essential that general and trauma surgeons understand […]

Patient History: 62 year old female, smoker, gout, chronic back pain and obesity. Patient was also wheelchair bound and suffered with anxiety and depression. Wound and Treatment History: Abdominal surgical dehiscence, post laparotomy and ventral hernia repair with external oblique component separation and onlay of mesh on 10/3/19. Midline abdominal wound dehiscence first noted on […]

Introduction. Negative-pressure wound therapy (NPWT) with instillation is a major advancement in the treatment of infected complex wounds. It adds the benefits of topical solution instillation to the known beneficial properties of negative-pressure therapy. Methods. A 54 year-old female underwent hysterectomy through a transverse abdominal incision (pfannenstiel incision) due to leiomyomatosis by the Gynecology and Obstetrics […]

Introduction. Negative-pressure wound therapy (NPWT) with instillation is a major advancement in the treatment of infected complex wounds. It adds the benefits of topical solution instillation to the known beneficial properties of negative-pressure therapy. Methods. A 47 year-old female underwent abdominoplasty for skin laxity correction. The patient had no comorbidities, but she was a moderate smoker. She […]

USHA SHARMA – TVN SPECIALIST NURSE, TEAM LEADER, The royal Wolverhampton NHS Trust. Introduction: 72-year-old lady admitted via ED with sepsis.  First impression in medical notes was of cellulitis of legs (figure 1& 2). The lady had a past medical history of IBS, Asthma, CKD, Pyoderma gangrenosum, Osteoarthritis, vasculitis on renal biopsy, Hyperthyroidism, Hypertension and […]

Jean Sheehan, Clinical Nurse Specialist University Hospital LimerickHelen Meagher, Advanced Nurse Practitioner, University Hospital Limerick Introduction This case presentation provides an overview of the holistic and multidisciplinary wound management of a 67 year old lady with an infected Diabetic Foot Ulcer on her 4th toe. Case Presentation: A 67 year old patient was admitted on […]

Jean Sheehan, Clinical Nurse Specialist University Hospital Limerick Helen Meagher, Advanced Nurse Practitioner, University Hospital Limerick Introduction This case presentation provides an overview of the holistic and multidisciplinary wound management of an 82 year old lady who developed wound complications as a result of an infected total knee replacement. Case Presentation:An 82 year old patient […]