Background: Negative Pressure wound therapy with instillation (NPWTi) combines the advantages of both sub-atmospheric pressure therapy and instillation of wound-decontaminating and infection-controlling solutions. In this paper, we present our experiment in utilizing NPWTi for superficial partial, deep partial, and full-thickness burn wound management in the Minia University Hospital Burn Unit.

Methods: Twenty patients were included in a prospective study of burn wounds. The burn area was divided into two parts; the control part & study part; the control part was managed by occlusive dressing, while the study part was managed by NPWTi. NPWTi was initiated by instilling normal saline with a soaking time of 5 minutes, followed by 8 hours of NPWT at 75 mmHg for children and 100 mmHg for adults. One month after complete healing, all cases were assessed using the Photographs & POSAS Scar Scale.

Results: The study results revealed faster healing time and significant scar outcomes.

Conclusion: NPWTi is a valid tool for the management of burns with promising and satisfactory scar outcomes.