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ISSN 1405-0625 (Print)

2011, Number 2

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Cir Plast 2011; 21 (2)

Effectiveness of negative wound pressure therapy versus conventional treatment in the management of acute and chronic wounds in the Petroleos Mexicanos North Central Hospital

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

Language: Spanish
References: 52
Page: 92-101
PDF size: 164.33 Kb.


ABSTRACT

Treatment of acute and chronic wounds is a challenge for surgeons because it implies direct association with local and systemic diseases. We hypothesized that negative wound pressure therapy is more effective, implies less duration and cost than conventional wound management. 24 patients were studied in a period of 19 months. Each group had 12 patients with wound infection, abdominal sepsis, diabetic foot, Fournier gangrene and pressure ulcers. We studied age, sex, related illnesses, microbiology, hospital duration treatment and outpatient treatment, number and duration of surgical debridement, number of dressing changes and total costs. We used the SPSS program for Windows® for statistical analysis. The conventional therapy group had younger patients. Males were predominant in both groups. Staphylococcus aureus was predominant in the conventional therapy group while in the negative wound pressure therapy it was Staphylococcus epidermidis. Diabetes mellitus and high blood hypertension were found in both groups. Hospital treatment was longer in the negative wound pressure therapy group. Outpatient treatment was longer in the conventional therapy group. The number and duration of surgical debridement was less in the negative wound pressure therapy, as well as wound dressings changes were fewer in the negative wound pressure therapy. Granulation tissue appeared earlier in the negative wound pressure therapy. Cost of surgical debridement was lower in the negative wound pressure therapy group. Outpatient and total cost were lower in the negative wound pressure therapy group. The negative wound pressure therapy is cost-effective and results in a reduction in the duration of the treatment of patients with acute and chronic wounds.


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