Experience with local negative pressure (vacuum method) in the treatment of complex wounds

Sao Paulo Medical Journal

Alexandre Wada¹  Marcus Castro Ferreira¹  Paulo Tuma Júnior¹  Gino Arrunátegui¹ 

[1] ,Universidade de São Paulo Faculdade de Medicina Hospital das ClínicasSão Paulo,Brazil

关键词: Wound healing;    Vacuum;    Plastic surgery;    Leg ulcer;    Decubitus ulcer;    Cicatrização de feridas;    Vácuo;    Cirurgia plástica;    Úlcera da perna;    Úlcera de decúbito;   

DOI  :  10.1590/S1516-31802006000300008

来源: SciELO

【 摘 要 】

CONTEXT AND OBJECTIVE: Use of topical negative pressure over difficult-to-heal wounds has been studied. The objective of this study was to analyze the effects from negative pressure in the treatment of complex wounds. DESIGN AND SETTING: Case series developed at Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo. METHODS: Twenty-nine patients with complex wounds were treated with the vacuum system and then underwent a surgical procedure to close the wound. RESULTS: 85% of the skin grafts took well, and 87.5% of the local flaps were successful, thus demonstrating adequate wound preparation. The wounds were closed within shorter times than observed using other conventional treatments In two cases, the vacuum system was also used to stabilize the skin grafts over the wounds. CONCLUSIONS: Use of the vacuum method is safe and efficient for preparing wounds for surgical closure. It allows for an improvement of local wound conditions, and healthy granulation tissue develops with control over local infection.

【 授权许可】

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