For the past 20 years of armed conflict in Afghanistan, Iraq, and neighbouring states, negative pressure wound therapy (NPWT) has played a crucial role in the management of extremity soft tissue injuries for US forces.^,  After aggressive and prompt surgical debridement, NPWT was commonly used before evacuation from combat-theatre hospitals. Almost all US military casualties with extremity wounds, especially those needing delayed or complex reconstruction, arrive with NPWT in place on arrival to the USA for tertiary care. NPWT aids extremity-injured casualties in several ways. First, NPWT allows containment of contaminated wounds from clean wounds obtained in course of care, such as trauma laparotomies or vascular cut downs. Second, NPWT can increase the interval between trips to the operating room, increasing recovery time between each anaesthetic and debridement. Last, NPWT can be used on conformationally challenging wounds that can be difficult to access during standard nursing care or difficult to tolerate for a non-anaesthetised patient, such as wounds located on the groin and perineum, and amputations.

中文翻译：

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在与冲突有关的伤口上使用负压伤口疗法。

在阿富汗，伊拉克和邻国的武装冲突的过去20年中，负压伤口治疗（NPWT）在美军肢体软组织损伤的管理中起着至关重要的作用。^， 在进行积极，及时的手术清创术后，NPWT通常在从战区医院撤离之前使用。几乎所有有四肢伤口的美国军人伤亡，特别是那些需要延迟或复杂重建的伤员，都是在到达美国进行三级护理时随即携带NPWT到达的。NPWT通过多种方式帮助肢体受伤的人员。首先，NPWT可以将护理过程中获得的干净伤口（如创伤性腹腔镜手术或血管切开术）中的污染伤口包住。其次，NPWT可以增加去手术室之间的间隔，增加每次麻醉和清创术之间的恢复时间。最后，NPWT可以用于构象复杂的伤口，这些伤口在标准护理期间可能难以接近，或者对于非麻醉患者难以耐受，