Focus On...Wound Care: Negative Pressure Wound Therapy: An Option for Hard-to-Heal Wounds | I Advance Senior Care Skip to content Skip to navigation

Focus On...Wound Care: Negative Pressure Wound Therapy: An Option for Hard-to-Heal Wounds

January 1, 2006
by Michael S. Miller, DO, FACOS, CWS; Marta Ortegon, PA; Cheryl McDaniel, LPN; and Thomas Serena, MD, FACS, CWS
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  • Neuropathic (diabetic) ulcers
  • Venous or arterial insufficiency ulcer unresponsive to standard therapy
  • Traumatic wounds (i.e., flap or meshed graft)
  • Pressure ulcers (stage 3 or stage 4)
At the present date, the question is not whether negative pressure wound therapy is beneficial in wound healing, because numerous case studies and articles clearly document its efficacy. The questions that remain involve determining the optimum mechanism and protocols for deploying this therapy. In a recent review article,17 we have called for further research to better define the parameters for pressure intensity, duration of treatment, interval between treatments, mode of application, and timing of application to provide the most efficient and cost-effective therapy. Although there is still much to learn to optimize NPWT, this therapy is currently improving outcomes for patients suffering with pressure ulcers and other difficult-to-heal wounds.
Michael S. Miller, DO, FACOS, CWS, is the Medical Director, Marta Ortegon is a Physician Assistant, and Cheryl McDaniel is a Staff Nurse at The Wound Healing Center, Terre Haute, Indiana. Thomas Serena, MD, FACS, CWS, is the Medical Director at Penn North Centers for Advanced Wound Care, Warren, Pennsylvania. For more information, phone Dr. Miller at (812) 234-4321 or fax (812) 478-9552. To send your comments to the authors and editors, please e-mail To order reprints in quantities of 100 or more, call (866) 377-6454.

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17.Miller MS, Lowery CA. Negative pressure wound therapy: "A rose by any other name." Ostomy Wound Manage 2005;51:44-9.   Safety Lancet
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