Negative-Pressure Wound Therapy (NPWT) in Horses: A Scoping Review.
Abstract: Obtaining a healthy wound environment that is conductive to healing in horses can be challenging. Negative-pressure wound therapy (NPWT) has been employed in humans to enhance wound healing for decades. The existing evidence for the effectiveness of NPWT remains uncertain in equine medicine. The aim of this review is to investigate NPWT applications and benefits in horses. A scoping review was performed according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines for scoping reviews on three databases (PubMed, Web of Science-Thompson Reuters, and Wiley Online Library). Twenty-four manuscripts were considered. After removing duplicates, 17 papers underwent abstract screening. Of these, 16 + 1 (cited by others) were evaluated for eligibility according to PICOs, including no case reports/retrospective studies, four original articles, and three reviews. Fifteen manuscripts met the inclusion criteria. The focus of the articles was wound management; they included three reports of wounds communicating with synovial structures. Traumatic wounds and surgical-site infections are indications for NPWT. NPWT presents several advantages and few complications making it an attractive alternative to conventional wound management. However, randomized controlled trials should be performed to quantify the benefits and establish precise protocols in horses.
Publication Date: 2023-08-06 PubMed ID: 37624295PubMed Central: PMC10458497DOI: 10.3390/vetsci10080507Google Scholar: Lookup
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- Journal Article
- Scoping Review
Summary
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The research article reviews the use of Negative-Pressure Wound Therapy (NPWT) in horses to aid wound healing. It evaluates the effectiveness of this therapy through a systematic review of existing studies on the topic.
Research Methodology
- The researchers conducted a scoping review, a type of literature review that maps key concepts and types of evidence within a topic to identify knowledge gaps.
- They used the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines to guide their review, ensuring quality and consistency. PRISMA is considered best practice for reporting systematic reviews and meta-analyses.
- Three databases were used to find relevant studies: PubMed, Web of Science-Thompson Reuters, and the Wiley Online Library.
- They initially found 24 manuscripts on the topic. However, after removing duplicate papers and screening the abstracts, they refined the selection down to 15 papers for detailed study.
Findings
- NPWT, a therapy used for decades in humans to improve wound healing, is now being used in equine medicine, although the evidence of its effectiveness in horses is uncertain.
- The types of equine wounds that could benefit from NPWT include traumatic wounds and surgical-site infections. Some study papers also reported the use of NPWT in managing wounds in proximity with synovial structures.
- The method offers several advantages over conventional wound management methods, including promoting a healthier wound environment conductive to healing. Complications are infrequent, making NPWT an attractive alternative.
Conclusions and Recommendations
- Despite the promising results, the research acknowledges that more studies are needed to evaluate and quantify the benefits of NPWT in a controlled setting. The researchers recommended conducting randomized controlled trials to establish precise protocols for using NPWT in equine medicine.
Cite This Article
APA
Cantatore F, Pagliara E, Marcatili M, Bertuglia A.
(2023).
Negative-Pressure Wound Therapy (NPWT) in Horses: A Scoping Review.
Vet Sci, 10(8).
https://doi.org/10.3390/vetsci10080507 Publication
Researcher Affiliations
- Pool House Equine Clinic, IVC Evidensia, Crown Inn Farm, Fradley, Lichfield WS13 8RD, UK.
- Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy.
- Pool House Equine Clinic, IVC Evidensia, Crown Inn Farm, Fradley, Lichfield WS13 8RD, UK.
- Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy.
Conflict of Interest Statement
The authors declare no conflict of interest.
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