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Negative pressure wound therapy in the management of wounds

Negative pressure wound therapy, the controlled application of sub-atmospheric pressure to the wound surface, is becoming an increasingly popular treatment modality for the management of wounds in both human and veterinary medicine. It is proposed to exert a number of actions on the wound environment to promote healing. It is well recognised in the management of acute and chronic wounds and with skin grafting. It shows promise in cases of exposed orthopaedic implants and postoperatively on high-risk closed surgical incisions. Close monitoring following application is essential to ensure continued function. Importantly, it is typically well tolerated with minimal associated complications. However, significant complications are reported, if rarely, hence careful decision-making should be implemented to ensure appropriate use.