Adjunctive negative pressure wound therapy in the management of a chronic mixed leg ulcer: A single-case study.

J Vasc NursJul 1, 2026 (epub)
Case ReportGeneral SurgeryPlastic Surgery

Wee Ting Goh, Nanthakumahrie Gunasegaran, Fazila Aloweni

✦ AI-curated · Sources linked

Case in brief

A patient with a chronic mixed arterial-venous leg ulcer, unresponsive to standard care for 12 weeks, was treated with adjunctive negative pressure wound therapy (NPWT) and NPWT with instillation and dwell time (NPWTi-d). Over four months, the ulcer size decreased from 81 cm² to 30.1 cm², achieving a 54.8% reduction and an average healing rate of 4.56 cm²/week, without the need for surgical intervention.

Diagnostic / clinical pearl

The combination of NPWTi-d followed by NPWT, along with compression therapy, can significantly enhance healing in chronic mixed leg ulcers that do not respond to conventional treatments.

Source

PubMed · PMID 42637500

Published in J Vasc Nurs. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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