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2011, Número 2

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Cir Plast 2011; 21 (2)


Efectividad de la terapia con presión negativa tópica versus la terapia convencional en las heridas agudas y crónicas en el Hospital Central Norte de Petróleos Mexicanos

Márquez EC, Gaytán FOF, Torres TA, Sánchez MR, Figueroa HL, Gaytán FIA, Gutiérrez BG

Idioma: Español
Referencias bibliográficas: 52
Paginas: 92-101
Archivo PDF: 164.33 Kb.


RESUMEN

El tratamiento de las heridas agudas y crónicas representa un reto para el cirujano, ya que implica una relación directa con enfermedades locales y sistémicas. Se planteó que la presión negativa tópica es más efectiva, representa menor duración y costo que el tratamiento comparado con la terapia convencional. Se estudiaron 24 pacientes durante 19 meses, 12 pacientes por grupo con heridas infectadas, sepsis abdominal, pie diabético, gangrena de Fournier y úlceras de presión. Se estudió la edad, género, enfermedades asociadas, microbiología, duración del tratamiento hospitalario y ambulatorio, número y duración de los lavados quirúrgicos, número de curaciones y costos totales. Se utilizó el programa SPSS para Windows® para el análisis estadístico. Los pacientes fueron más jóvenes en el grupo control. El sexo masculino predominó en ambos grupos. Staphylococcus aureus fue mayor en el grupo control y Staphylococcus epidermidis en el experimental. La diabetes mellitus y la hipertensión arterial sistémica se encontraron en ambos grupos. El tratamiento intrahospitalario fue mayor con la presión negativa tópica; el tratamiento ambulatorio fue mayor en la terapia convencional. El número de curaciones, lavados y la duración de los últimos fue menor con la presión negativa tópica, al igual que el costo de los lavados, costo del tratamiento ambulatorio y total. El tejido de granulación apareció más tempranamente en la presión negativa tópica. La presión negativa tópica es costo-efectiva y tiene una reducción en la duración del tratamiento de los pacientes con heridas agudas y crónicas.


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