Michael N Desvigne

Early reported effects of the 2026 CMS Physician Fee Schedule on patient access to CAMPs in wound care: a national clinician and practice survey

William H Tettelbach, David Armstrong, Travis Tucker, Alisha Oropallo et autres

OBJECTIVE: , regardless of product type or regulatory classification. The aim of this work was to assess perceived impacts of the revised fee schedule that went into effect on 1 January 2026. METHOD: The Wound and Hyperbaric Association conducted an online national …

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Real-world outcomes of cellular, acellular, and matrix-like products (CAMPs) in Stage 3 pressure injury ulcers: A matched Medicare claims analysis (2016–2024)

William H Tettelbach, David G. Armstrong, Alisha Oropallo, Martha R Kelso et autres

Background: Stage 3 pressure injuries (PIs) are full-thickness wounds associated with high morbidity, frequent infection-related complications, and substantial healthcare utilization in adults with compromised mobility. Real-world outcomes of cellular, acellular, and matrix-like products (CAMPs) for Stage 3 PIs in Medicare populations have …

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Cellular, Acellular And Matrix-Like Products (CAMPS) In Pressure Injuries

Michael N Desvigne, William H Tettelbach, Thomas A. Davenport, Ryan Dirks et autres

Executive summary• The high prevalence and recurrence of pressure injuries (PIs) require new treatment strategies.• The goals of PI treatment and research should be holistic, encompassing quality of life, symptom control, patient-directed goals of care and survival, as well as cure.• Cellular, …

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Cellular, acellular, and matrix-like products (CAMPs) for soft-tissue reconstruction in acute surgical and traumatic wounds

Daniel L. Kapp, Thomas E Serena, Abigail E. Chaffin, Michael N Desvigne et autres

Human cells, tissues or cellular or tissuebased productsAuditable registration of compliance with CFR 1271 regulations and CFR 1271.10(a)criteria to ensure safety for human use without requiring pre-market approval or 510(k) clearance.

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Fluorescence imaging in surgical wound management: A consensus-based approach

Thomas E Serena, Daniel Kapp, Thomas A. Davenport, William Tettlebach et autres

The rapid evolution of imaging technologies has transformed our approach to managing surgical wounds. Among these innovations, fluorescence imaging stands out as a tool with profound implications for clinical practice, patient outcomes, and healthcare systems at large. The integration of point-of-care fluorescence …

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The biological imperative of cutaneous wounds: tissue repair

Daniel Kapp, Abigail E. Chaffin, Mervin Low, Michael N Desvigne et autres

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Multidisciplinary Expert Consensus Statements and Recommendations for Use of Hypochlorous Acid as a Solution for Negative Pressure Wound Therapy With Instillation

Paul Jeong Kim, Luis G. Fernández, Mary Ann Obst, Abigail E. Chaffin et autres

BACKGROUND: HOCl (eg, pHAp) preserved solutions have antimicrobial properties and are considered safe and effective for wound management. NPWTi-d (or NPWTi) is an established adjunctive wound modality for a variety of wound etiologies in various anatomic locations in which an instillate solution …

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Use of Silver Collagen Oxidized Regenerated Cellulose Dressings in Conjunction With Negative Pressure Wound Therapy: Expert Panel Consensus Recommendations

Robert J. Klein, Michael N Desvigne, Emily Greenstein, Ralph J Napolitano et autres

BACKGROUND: A new indication for use of silver collagen oxidized regenerated cellulose (ORC) dressing in conjunction with negative pressure wound therapy (NPWT) and reticulated open cell foam (ROCF) dressings has recently become available. OBJECTIVE: An in-person meeting with 7 health care providers …

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Rotation Flap Closure of Pressure Injuries Following Negative Pressure Wound Therapy With Instillation for Wound Cleansing

Michael N Desvigne, K.O. Montgomery, Kurt Holifield, Kari Day et autres

INTRODUCTION: Wound cleansing is integral during early-stage wound management and affords the transition to modalities promoting granulation tissue formation and reepithelialization, or preparation for wound coverage/closure. NPWTi-d includes periodic instillation of topical wound cleansing solutions and negative pressure for infectious material removal. …

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Reducing the Risk of Postoperative Problems With Panniculectomies Using the Prevena Plus™ 125 Incisional Management Dressing

Michael N Desvigne

Abdominal wall reconstruction procedures have become increasingly popular in recent years as technology and surgical techniques have improved. The downside to these procedures has been the high rate of postoperative complications. Surgical site infections have been reported as high as 33.7% of …

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Initial Experience Using Disposable Negative Pressure Wound Therapy for Closed Incisions Following Outpatient Wound Reconstruction.

Michael N Desvigne, Michael L. Berman, D Scott Villanueva, Kristina Fawcett et autres

Wound reconstruction surgeries are at high risk for failure. Outpatient wound reconstruction (OWR) describes these procedures performed in the outpatient setting under local anesthesia. The use of closed incision negative pressure therapy (ciNPT) has been shown to protect the incision and help …

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Use of mechanically powered disposable negative pressure wound therapy: recommendations and reimbursement update.

William H Tettelbach, Jonathan F. Arnold, Alberto González-Pedraza Avilés, Christopher D. Barrett et autres

Use of ultra-portable, mechanically powered disposable negative pressure wound therapy (dNPWT) has grown as an adjunctive modality to manage wounds in outpatient care and to expedite transition of inpatients to an outpatient setting. This technology has demonstrated similar efficacy and usability for …

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