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Particulate evacuation under NPWT: bench evaluation of a multilayer foam prototype versus commercial dressings in a simulated exudate model

Abstract: Negative pressure wound therapy (NPWT) is widely used to facilitate healing by improving local perfusion, reducing edema and controlling exudate. The porous foam dressing is central to NPWT effectiveness, however, its performance in viscous, particle-rich exudates remains challenging. Standard industry tests often rely on protein-free aqueous solutions, which overlook the complex rheology and particulate load of real wounds. This study reports a bench evaluation of a multilayer foam prototype compared with three commercial dressings under NPWT, using a simulated viscous exudate with suspended particles. We recorded 60-min drainage curves and quantified effluent turbidity as a simple, interpretable proxy for particulate transport, summarised as percentage of input turbidity recovered. The mass-based endpoint (percent solid matter recovered) showed the same ranking as turbidity. At -75 mmHg, the prototype recovered 31.6% of input turbidity, exceeding commercial foams (mayor o igual que 9.7%). At -125 mmHg, particulate recovery decreased across all dressings (mayor o igual que 9.1%). A matrix-only control indicated that commercial effluents, particularly at -75 mmHg, clustered near background level, whereas the prototype evacuated substantially more particulate while maintaining robust fluid drainage. These findings suggest that moderate negative pressure and multilayer architecture can help preserve channel patency and reduce clogging in complex exudates. We highlight the need for test methodologies that incorporate viscosity and particulate content, and for practical guidance that links dressing architecture and pressure settings to exudate characteristics. Prospective validation, including larger-sample confirmation, particle-size distributions and ultimately clinical endpoints, is warranted.

 Autoría: Zorrilla de la Fuente P., Castillo F., Diban N., Lázaro-Martínez J.L., Quevedo Revilla F., García Ruiz G., Sancibrian R., Peralta G.,

 Fuente: International Wound Journal, 2026, 23(3), e70872

 Editorial: Wiley

 Fecha de publicación: 01/03/2026

 Nº de páginas: 8

 Tipo de publicación: Artículo de Revista

 DOI: 10.1111/iwj.70872

 ISSN: 1742-4801,1742-481X

 Url de la publicación: https://doi.org/10.1111/iwj.70872

Autoría

PATRICIA ZORRILLA DE LA FUENTE

FEDERICO JOSE CASTILLO SUESCUN

JOSE LUIS LAZARO MARTINEZ

FERNANDO QUEVEDO REVILLA

GARCÍA RUIZ, GERARDO

FRANCISCO GALO PERALTA FERNANDEZ