Rodríguez OE, Villanueva MA, Cuevas SC, Zavala AMA

Language: Spanish
References: 13
Page: 56-61
PDF size: 245.26 Kb.

ABSTRACT

Chronic wounds represent a very high cost for health systems. Negative Pressure Wound Therapy has been used since 1989. Currently, it is an attainable alternative method in any hospital and effective in wound bed preparation, in acute and chronic wounds, and the posterior primary, delayed or secondary closure. It has gradually being accepted among physicians in our country. We evaluated the results obtained using the Negative Pressure Wound Therapy in acute, chronic and complex wounds in the Wounds Clinic at the Hospital Cemain in Tampico, Tamaulipas. We treated 22 patients over a period of 3 years, with injuries of different etiology and evolution. Skin grafts, local flaps and free microvascular transfer were used for definitive closure. We obtained a stable closed wound in the entire group, with a 12 months follow- up, achieving comfort and cost reduction for the patient during the healing process. The time of wound bed preparation is not dependent on the system applied (VAC® Medela® Versatile One®), although we observed higher quality of granulation tissue with the VAC® and a better therapy control.

REFERENCES

1. Branski LK, Gauglitz GG, Herndon DN et al. A review of gene and stem cell therapy in cutaneous wound healing. Burns 2009; 35(2): 171-180.

2. Bryant RA, P. Nix DP. Acute and chronic wounds. Current management concepts. Third Edition. Mosby editorial. 2007.

3. Morison MJ, Ovington LG, Wilkie K. Chronic wound care. A problem-based learning approach. Mosby 2004: 154-156.

4. Meara JG, Guo L, Smith JD, Pribaz JJ, Breuing KH, Orgill DP. Vacuum-assisted closure in the treatment of degloving injuries. Annals of Plastic Surgery 1999; 42(6): 589-594.

5. Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt WBS. Vacuum-assisted closure: A new method for wound control and treatment: Animal studies and basic foundation. Annals of Plastic Surgery 1997; 38(6): 553-562.

6. Argenta LC, Morykwas MJ. Vacuum-assisted closure: A new method for wound control and treatment: Clinical experience. Annals of Plastic Surgery 1997; 38(6): 563-577.

7. Kostiuchenok BM. The vacuum effect in the surgical treatment of purulent wounds. Vestnik Khirurgii 1986; 137(9): 18-21.

8. Davydov IuA, Malafeeva EV, Smimov AP, FlegontovVB. Vacuum therapy in the treatment of purulent lactation mastitis. Vestnik Khirurgii 1986; 137(11): 66-70.

9. Iusupov IuN, Epifanov MV. Active wound drainage. Vestnik Khirugii 1987; 138(4): 42-46.

10. Morykwas MJ, Argenta LC. Nonsurgical modalities to enhance healing and care of soft tissue injuries. Journal of the Southern Orthopedic Association 1997; 6: 279-288.

11. DeFranzo AJ, Argenta LC, Marks MW et al. The use of vacuum-assisted closure therapy for the treatment of lower-extremity wounds with exposed bone. Plastic & Reconstructive Surgery 2001; 108(5): 1184-1191.

12. Morykwas MJ, Faler BJ, Pearce DJ, Argenta LC. Effects of varying levels of subatmospheric pressure on the rate of granulation tissue formation in experimental wounds in swine. Annals of Plastic Surgery 2001; 47(5): 547-551.

13. KCI. The V.A.C. Therapy clinical guidelines. A reference source for clinicians. San Antonio Tex: Kinetic Concepts, Inc; 2007.