Evidence map›Paper›PMID 27696723›Full record

ReviewInternational wound journal2017

Use of negative pressure wound therapy on malignant wounds - a case report and review of literature.

Stephen S Cai, Arvind U Gowda, Richard H Alexander, Ronald P Silverman, Nelson H Goldberg, Yvonne M Rasko

Open access · greenAbstract readCase ReportsReview
In one paragraph

Review in International wound journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. [Clinical diagnosis and treatment strategies for malignant complex wounds].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2025
    Review
  3. Therapeutic Management of Malignant Wounds: An Update.Current treatment options in oncology · 2024
    Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. [An uncommon skin tumor in the emergency department].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2018
    Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Stephen S CaiDivision of Plastic Surgery, University of Maryland Medical Center, Baltimore, MD, USA.
Arvind U GowdaDivision of Plastic Surgery, University of Maryland Medical Center, Baltimore, MD, USA.
Richard H AlexanderDivision of Surgical Oncology, University of Maryland Medical Center, Baltimore, MD, USA.
Ronald P SilvermanDivision of Plastic Surgery, University of Maryland Medical Center, Baltimore, MD, USA.
Nelson H GoldbergDivision of Plastic Surgery, University of Maryland Medical Center, Baltimore, MD, USA.
Yvonne M RaskoDivision of Plastic Surgery, University of Maryland Medical Center, Baltimore, MD, USA.
University of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The presence of malignancy is considered a contraindication to the use of negative pressure wound therapy (NPWT) because of concerns that it may promote tumourigenesis and expedite metastasis. This notion is extrapolated from studies evaluating NPWT in normal tissues. Despite the absence of direct evidence, the use of this technology in malignant wounds is widely considered a contraindication. We present the case of a patient with treatment-resistant metastatic colon cancer, who developed a chronic abdominal wound with positive margins. A staged reconstruction using NPWT was performed and wound closure allowed the patient to meet eligibility criteria and enrol in a clinical trial for treatment of his oncological disease. Skin closure remained intact until the patient expired 6 months after the wound closure. This case, as well as others in the literature, demonstrated that the use of NPWT should not be considered an absolute contraindication in malignancy. Individualised approaches taking into account the patient's clinical scenario, the available evidence, as well as the risks and benefits of this technology are recommended.

Indexed as

Abdominal InjuriesAdultColonic NeoplasmsFatal OutcomeHumansMaleNegative-Pressure Wound TherapyNeoplasm MetastasisWound Healingmalignancymalignant woundnegative pressure wound therapyvacuum-assisted closurewound closure

Identifiers

PMID27696723
PMCPMC7949817
OpenAlexW2528477399

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.