Negative pressure therapy in complex limb wounds, prior to definitive wound closure
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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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/34928 |
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| Sumario: | 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.
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