Negative pressure therapy in complex limb wounds, prior to definitive wound closure

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Abstract:  Negative pressure therapy in complex limb wounds, prior to definitive wound closureIntroductionNegative pressure suction systems are used in the treatment of soft tissue wounds toprogressively reduce their size and depth. By providing a closed and moist environment suitablef...

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Autores principales: Alvarez , Emanuel, Sanchez Carpio , Diego, Simondi , Nestor, Quinteros , Mauricio, Palenque Paputsachis , Felix, Stauffer, Juan
Formato: Artículo revista
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021
Materias:
complex wounds
treatment and control
heridas complejas
tratamiento y control
.
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/34928
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-34928
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
format Artículo revista
topic complex wounds
treatment and control
heridas complejas
tratamiento y control
.
spellingShingle complex wounds
treatment and control
heridas complejas
tratamiento y control
.
Alvarez , Emanuel
Sanchez Carpio , Diego
Simondi , Nestor
Quinteros , Mauricio
Palenque Paputsachis , Felix
Stauffer, Juan
Negative pressure therapy in complex limb wounds, prior to definitive wound closure
topic_facet complex wounds
treatment and control
heridas complejas
tratamiento y control
.
author Alvarez , Emanuel
Sanchez Carpio , Diego
Simondi , Nestor
Quinteros , Mauricio
Palenque Paputsachis , Felix
Stauffer, Juan
author_facet Alvarez , Emanuel
Sanchez Carpio , Diego
Simondi , Nestor
Quinteros , Mauricio
Palenque Paputsachis , Felix
Stauffer, Juan
author_sort Alvarez , Emanuel
title Negative pressure therapy in complex limb wounds, prior to definitive wound closure
title_short Negative pressure therapy in complex limb wounds, prior to definitive wound closure
title_full Negative pressure therapy in complex limb wounds, prior to definitive wound closure
title_fullStr Negative pressure therapy in complex limb wounds, prior to definitive wound closure
title_full_unstemmed Negative pressure therapy in complex limb wounds, prior to definitive wound closure
title_sort negative pressure therapy in complex limb wounds, prior to definitive wound closure
description Abstract:  Negative pressure therapy in complex limb wounds, prior to definitive wound closureIntroductionNegative pressure suction systems are used in the treatment of soft tissue wounds toprogressively reduce their size and depth. By providing a closed and moist environment suitablefor wound healing, it favors the elimination of exudates that can inhibit or delay healing, helpseliminate edema and stimulates granulation. These favorable conditions and evolution of thewound, reduces the incidence of infection.objectiveDescription where negative pressure suction system was used in extensive traumatic injuries tothe extremities.Material and methodsRetrospective, descriptive, observational study, included extensive traumatic injuries of theextremities (upper limb and / or lower limb), treated with the negative aspiration system, prior tothe definitive surgical treatment of the lesion, in the present study they were not taken intoaccount bone injuries (fracture or bone exposure) since the population to be studied did notpresent injuries of this type. The period recorded was 4 years (January 2015 to December 2019).The evolution of the wound with this therapy was observed and described.Results25 cases were analyzed (19 male and 6 female), with lower limb (84%) and upper limb (16%)involvement. The average age is 59 years (range 22 - 71). In 44% (11 patients) received a skin graftas definitive treatment, 24% (6 patients) had a second intention closure after treatment due toreduced wound dimensions, 16% (4 patients) were amputated due to septic complication, beingthese patients who did not respond favorably to the combined antibiotic / vaac therapy andwounds that did not have good irrigation due to the extent of the damage (all supracondylar lowerlimb amputations). Four patients (16%) died from systemic complications.ConclusionsThese injuries usually occur under a traumatic environment of extreme severity, although using anegative suction system is not initially a definitive treatment, we observe a favorable evolutionwith this therapy, being an alternative that conditions a wound for definitive treatment.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2021
url https://revistas.unc.edu.ar/index.php/med/article/view/34928
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first_indexed 2024-09-03T21:02:48Z
last_indexed 2024-09-03T21:02:48Z
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spelling I10-R327-article-349282024-04-15T16:19:09Z Negative pressure therapy in complex limb wounds, prior to definitive wound closure Terapia de presión negativa en heridas complejas de extremidades, su efectividad previa al cierre definitivo de la herida A Alvarez , Emanuel Sanchez Carpio , Diego Simondi , Nestor Quinteros , Mauricio Palenque Paputsachis , Felix Stauffer, Juan complex wounds treatment and control heridas complejas tratamiento y control . Abstract:  Negative pressure therapy in complex limb wounds, prior to definitive wound closureIntroductionNegative pressure suction systems are used in the treatment of soft tissue wounds toprogressively reduce their size and depth. By providing a closed and moist environment suitablefor wound healing, it favors the elimination of exudates that can inhibit or delay healing, helpseliminate edema and stimulates granulation. These favorable conditions and evolution of thewound, reduces the incidence of infection.objectiveDescription where negative pressure suction system was used in extensive traumatic injuries tothe extremities.Material and methodsRetrospective, descriptive, observational study, included extensive traumatic injuries of theextremities (upper limb and / or lower limb), treated with the negative aspiration system, prior tothe definitive surgical treatment of the lesion, in the present study they were not taken intoaccount bone injuries (fracture or bone exposure) since the population to be studied did notpresent injuries of this type. The period recorded was 4 years (January 2015 to December 2019).The evolution of the wound with this therapy was observed and described.Results25 cases were analyzed (19 male and 6 female), with lower limb (84%) and upper limb (16%)involvement. The average age is 59 years (range 22 - 71). In 44% (11 patients) received a skin graftas definitive treatment, 24% (6 patients) had a second intention closure after treatment due toreduced wound dimensions, 16% (4 patients) were amputated due to septic complication, beingthese patients who did not respond favorably to the combined antibiotic / vaac therapy andwounds that did not have good irrigation due to the extent of the damage (all supracondylar lowerlimb amputations). Four patients (16%) died from systemic complications.ConclusionsThese injuries usually occur under a traumatic environment of extreme severity, although using anegative suction system is not initially a definitive treatment, we observe a favorable evolutionwith this therapy, being an alternative that conditions a wound for definitive treatment. Resumen:  Terapia de presión negativa en heridas complejas de extremidades, previa al cierre definitivo de la herida Introducción Los sistemas de aspiración por presión negativa, se utilizan en el tratamiento de heridas  de partes blandas para reducir progresiva su tamaño y su profundidad. Al proporcionar un ambiente cerrado y húmedo adecuado para la curación de la herida, favorece la eliminación de exudados que pueden inhibir o retrasar la curación, ayuda a eliminar el edema y estimula la granulación. Estas favorables condiciones y evolución de la herida, disminuye la incidencia de infección.  Objetivo Descripción donde se uso sistema de aspiración por presión negativa en heridas traumáticas extensas de las extremidades. Material y métodos Estudio retrospectivo, descriptivo, observacional, incluyó heridas traumáticas extensas de las extremidades (miembro superior y/o miembro inferior), tratados con el sistema de aspiración negativa, previa al tratamiento quirúrgico definitivo de la lesión, en el presente estudio no fueron tomadas en cuenta las lesiones oseas (fractura o exposición osea) ya que la población a estudiar no presento lesiones de este tipo. El periodo consignado fue de 4 años (enero de 2015 a diciembre de 2019). Se observo y describio la evolucion de la herida con esta terapeutica. Resultados Se analizaron 25 casos (19 masculinos y 6 femeninos), con afección de miembro inferior (84%) y miembro superior (16%). La edad promedio es 59 años (rango 22 – 71). En el 44 % (11 pacientes) llegaron a un injerto de piel como tratamiento definitivo, 24 % (6 pacientes) tuvieron un cierre por segunda intención posterior al tratamiento debido a unas dimensiones reducidas de la herida, 16 % (4 pacientes) fueron amputados por complicación séptica, siendo estos pacientes que no respondieron favorablemente a la terapia combinada antibiótica/vaac y heridas que no tenían buena irrigación debido a la extensión del daño (todas amputaciones supracondíleas de miembro inferior). Cuatro pacientes (16 %) fallecieron por complicaciones sistémicas. Conclusiones Estas lesiones suelen presentarse bajo un entorno traumatológico de extrema gravedad, aunque utilizar un sistema de aspiración negativa no sea inicialmente un tratamiento definitivo, observamos una evolución favorable con esta terapéutica, siendo una alternativa que acondiciona una herida para el tratamiento definitivo. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/34928 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0

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