{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:15:39Z","timestamp":1761059739659},"reference-count":21,"publisher":"Mark Allen Group","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2007,1]]},"abstract":"<jats:p> This case report discusses the use of topical negative pressure therapy on a suture line infected with methicillin-resistant Staphylococcus aureus in a patient with diabetes who had undergone a femoropopliteal bypass using an artifi cial graft <\/jats:p>","DOI":"10.12968\/jowc.2007.16.1.26989","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T15:59:27Z","timestamp":1400860767000},"page":"42-44","source":"Crossref","is-referenced-by-count":3,"title":["The successful management of a dehisced surgical wound with TNP following femoropopliteal bypass"],"prefix":"10.12968","volume":"16","author":[{"given":"A.","family":"Dee","sequence":"first","affiliation":[{"name":"Elmwood Leg and Foot Ulcer Clinic, Harrogate, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"p_1","volume-title":"What Is Diabetes?","author":"Diabetes UK.","year":"2005"},{"key":"p_3","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.17.6.557"},{"key":"p_5","unstructured":"Diabetes - Prevention and Management of Foot Problems. NICE, 2004."},{"key":"p_8","first-page":"3S","volume":"50","author":"Armstrong D.G.","year":"2004","journal-title":"Ostomy Wound Manage"},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.24.1.84"},{"key":"p_11","volume-title":"Elmwood Leg and Foot Ulcer Clinic","author":"Dee"},{"key":"p_14","volume-title":"which was performed","author":"Alan","year":"2005"},{"key":"p_15","unstructured":"The postoperative recovery was uneventful but a new ulcer developed on Alan's medial hallux - this was 1 x 1cm and had a sloughy wound bed. Both ulcers were dressed with cadexomer-iodine ointment (Iodosorb, Smith & Nephew) and non-adherent dressings (Atrauman, Hartmann), and were covered with Velband and crepe bandages for protection. They improved in terms of cleanliness and granulation, although there was no change in size. Alan was discharged home for district nursing care on 7 June 2005, after just over five weeks in hospital."},{"key":"p_20","unstructured":"Banwell and T\u00e9ot described TNP as a novel, powerful, non-pharmacological physical wound-healing modality.9Negative pressure applied removes infected material and\/or other fluid, assists tissue granulation, draws the wound edges together, reduces wound size, helps promote wound perfusion and provides a moist wound-healing environment.9-15"},{"key":"p_21","unstructured":"The TNP was applied to the dehisced line on 24 June 2005, when the initial wound dimensions were 2.0 x 4.8cm and the total area was 6.5cm2. A foam dressing (GranuFoam, KCI Medical) was placed in the dehisced area and `bridged' to a further dehisced area higher up the suture line. A hydrocolloid dressing template (DuoDERM, ConvaTec) was applied to the periwound edges to assist with skin protection and drape adherence. A Vacuum Assisted Closure (VAC) Freedom Therapy Unit (KCI) was selected to enable Alan to mobilise easily and maintain his normal activities. The TNP therapy was initiated at 125mmHg on a continuous setting, which was maintained throughout."},{"key":"p_22","series-title":"Fig 1","volume-title":"both foot ulcers were improving and there was visible evidence of wound contraction at the suture line. The dehisced suture line was now 1.7 x 4.8cm, with a total area of 4.8cm2","author":"When"},{"key":"p_24","unstructured":"On completion of the therapy on 11 July 2005, the wound dimensions were 1.3 x 3.4 x 0.5cm, with a total area of 2.6cm2(Fig 3). The smaller dehisced area had healed completely by this date."},{"key":"p_25","volume-title":"His remaining foot ulcers and the dehiscence continued to be treated with Iodosorb. Both ulcers were covered with Velband and crepe bandage. 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