Skip to content


Volume 10 Supplement 1

de Senectute: Age and Health Forum

  • Meeting abstract
  • Open Access

Wound bed preparation with NPWT in diabetic foot ulcers: case report

  • 1,
  • 1,
  • 1,
  • 1,
  • 1 and
  • 1
BMC Geriatrics201010 (Suppl 1) :A69

  • Published:


  • Negative Pressure Wound Therapy
  • Major Amputation
  • Diabetic Wound
  • Transposition Flap
  • Decrease Hospital Stay


Negative Pressure Wound Therapy (NPWT) is primarily used for very complex chronic wounds. The surgical treatment of the diabetic wounds with loss of soft tissue usually consists of closure using split-thickness skin grafts or transposition flaps. However, the first step consists of standard wound care with moist gauze dressing with the aim to prepare the wound bed for final closure. Clinical and experimental studies reported that negative pressure increases local blood flow and decreases bacterial colonization. Localized negative pressure removes fluids from the wound and promotes the granulation tissue, which is required for wound closure.

Materials and methods

A 68 years old man, with diabetes and peripheral neuropathy but without vascular dysfunctions was observed in our outpatient service in consequence of a traumatic wound of left foot with exposed bones and tendons. Antibiotic drugs were provided and NPWT was applied for three weeks. During this period, an increase of granulation tissue and decrease of nonviable tissue were observed. After this period, amputation of third, fourth and fifth left toe were performed because of bone necrosis. He continued NPWT for 2 weeks until complete granulation of the wound bed, and subsequently the wound was closed with a thin skin graft (Figure 1).
Figure 1
Figure 1

(Clinical Case)


NPWT achieved a faster granulating wound bed in order to prepare it for surgical closure technique.


NPWT reduces wound surface area by the traction force of negative pressure which increases mitosis of tissue around the wound.

Faster wound healing during the treatment of diabetic foot ulcers may decrease hospital stay and prevent extensive surgery for wound closure. NPWT can improve therapeutic results, major amputations being avoided.

Authors’ Affiliations

Department of Gerontology, Geriatrics and Metabolic Diseases, Second University of Naples, Italy


  1. Mullner T, et al: The use of negative pressure to promote the healing of tissue defects: a clinical trial using the vacuum sealing technique. Br J Plast Surg. 1997, 50: 194-9. 10.1016/S0007-1226(97)91369-2.PubMedView ArticleGoogle Scholar


© Sorrentino et al; licensee BioMed Central Ltd. 2010

This article is published under license to BioMed Central Ltd.