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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2018, Number 1

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Rev Mex Angiol 2018; 46 (1)

Uso de terapia de presión negativa para manejo de heridas complejas

Maitret-Velázquez RM, Bizueto-Rosas H, Gómez-Calvo CD, Pérez-González HA, Moreno-Ramírez CI, Hernández-Vázquez JI

Language: Spanish
References: 21
Page: 9-18
PDF size: 258.41 Kb.


ABSTRACT

Introduction. Negative pressure therapy (NPT) is a mechanical treatment that is use as an adjuvant in wound healing; provides a sterile, occlusive healing environment that reduces bacterial load, promotes granulation of the tissue by stimulating healing by second or third intention, reducing the surface area of the wound.
Material and methods. Observational, retrospective and descriptive study, aiming to present the experience of management in complex wounds of patients treated with NPT of the Angiology Department of the Hospital de Especialidades of Centro Médico Nacional La Raza.
Results. A total of 93 patients who received NPT were analyzed. The hospital stay has an average of 26.4 ± 5.3 days. The NPT modality was continuous at 91.4%. The silver type of sponge used was 91.4%. The negative pressure used was 125 mmHg in 86%. The most frequent etiologies were infection of the surgical wound (40.9%). Vascular exposure was present in 22.6%. The most frequent location of the wounds was the pelvic limb. The most frequent type of closure was by third intention (68.8%).
Conclusion. NPT is useful for managing complex wounds, accelerating wound healing, facilitating intrahospital treatment, better pain control, controlling the presence of infection, helping to close wounds in all cases, avoiding the use of complex reconstructive surgeries.


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