Expert Pointers On Negative Pressure Wound Therapy

Clinical Editor: Lawrence Karlock, DPM
If hygiene or maceration is an issue, Dr. Travis always increases the frequency of dressing changes with negative pressure therapy. When wound edges are showing evidence of maceration in between dressing changes, Dr. Travis has used two primary techniques to reverse the problem. After thoroughly drying the surrounding, previously macerated tissue, he either applies stoma paste to protect the tissue before reapplying the VAC drape or applies skin prep and then “window pane” thin hydrocolloid (Duoderm), cut into strips, to the area around the wound. “Both have yielded excellent results in both outpatient and hospital settings,” notes Dr. Travis. Dr. Bell is a board certified wound specialist of the American Academy of Wound Management, and a Fellow of the College of Certified Wound Specialists and the American Professional Wound Care Association. Dr. Bell is also the founder and Course Director of the Southeastern Interactive Wound Summit (SIWS), a multidisciplinary annual conference on advanced wound healing. Dr. Frykberg is the Chief of Podiatry at the Carl T. Hayden VA Medical Center in Phoenix. Dr. Rogers is the Director of the Amputation Prevention Center at Broadlawns Medical Center in Des Moines, Iowa. He completed a fellowship in diabetic limb preservation and research at the Scholl’s Center for Lower Extremity Ambulatory Research (CLEAR) in Chicago. He has been an investigator for clinical trials involving VAC therapy. Dr. Travis practices at Beach Podiatry in California. He is on the teaching staff at Fountain Valley Regional Hospital and is involved in the Wound Care Program at La Palma Intercommunity Hospital. Dr. Karlock (shown at the left) is a Fellow of the American College of Foot and Ankle Surgeons, and practices in Austintown, Ohio. He is the Clinical Instructor of the Western Reserve Podiatric Residency Program in Youngstown, Ohio. Dr. Karlock is a member of the Editorial Advisory Board for WOUNDS, a Compendium of Clinical Research and Practice.


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