Terapia por pressão negativa na ferida traumática complexa do períneo

Milcheski, Dimas André; Zampieri, Felipe; Nakamoto, Hugo Alberto; Júnior, Paulo Tuma; Ferreira, Marcus Castro

doi:10.1590/s0100-69912013000400010

Cited by 10 publications

(4 citation statements)

References 13 publications

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“…In 1997, Argenta and Moryskwas 14 developed a commercial product based on the use of negative pressure (VAC) and began to use it for wound treatment, providing an excellent environment for faster healing. Negative pressure therapy can promote approximation of the wound edges; remove exudates, infectious material, and cellular debris; reduce edema; and promote perfusion through neoangiogenesis and cellular responses such as migration and proliferation.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Successful Treatment of Pyoderma Gangrenosum after Augmentation Mastopexy Using Vacuum Therapy

Soncini

Salles

Neto

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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show abstract

Section: Discussionmentioning

confidence: 99%

“…Negative pressure therapy can promote approximation of the wound edges; remove exudates, infectious material, and cellular debris; reduce edema; and promote perfusion through neoangiogenesis and cellular responses such as migration and proliferation. 14,15 …”

Section: Discussionmentioning

confidence: 99%

Successful Treatment of Pyoderma Gangrenosum after Augmentation Mastopexy Using Vacuum Therapy

Soncini

Salles

Neto

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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show abstract

“…Besides that, the use of hormones of the growth, which have the potency to promote a faster healing of the wound, have also been useful. It is also mentioned the use of papain, which helps in the debridement, attacks infection and accelerates healing, depending on its concentration (22)(23)(24)(25) . As to the treatment with hyperbaric oxygen therapy, the results have been controversial, once some authors defend its use while others state that there is the need of more studies when it is applied on the several types of fasciitis (9,11) .…”

Section: Discussionmentioning

confidence: 99%

Brazilian scientific evidence on Fournier’s gangrene

Santos¹,

Vale²,

Reis³

et al. 2014

Rev Rene

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The objective of this study was to describe the Brazilian scientific reports published over the past twenty years on Fournier's gangrene. It is an integrative review conducted through incursions in the LILACS, MEDLINE, BDENF and Coleciona SUS databases with the descriptor 'Fournier's Gangrene'. Texts published between January 1994 and July 2014, in Portuguese, and freely available online were selected. According to the 14 articles found, the main symptoms of Fournier's gangrene include discomfort with painful sensations, high fever, edema, malaise, and sweating. In most cases erythema and blistering are observed, evolving into a wound. The clinical profile assists in the selection of empirical antimicrobial therapy even before the culture results. It was concluded that early diagnosis and appropriate and aggressive treatment are crucial in patient prognosis. There is still a shortage of Brazilian scientific production with a high power of evidence on the subject. Descriptors: Fournier Gangrene; Wounds and Injuries; Therapeutics; Review. Objetivou-se descrever os registros científicos brasileiros publicados nos últimos vinte anos acerca da gangrena de Fournier. Trata-se de uma revisão integrativa realizada por intermédio de incursões nas bases LILACS, MEDLINE, BDENF e Coleciona SUS com o descritor "Gangrena de Fournier". Foram selecionados os textos publicados entre janeiro de 1994 e julho de 2014, em português e disponíveis gratuitamente online. De acordo com os 14 artigos encontrados, os principais sintomas da gangrena de Fournier incluem desconforto com sensações dolorosas, febre elevada, edema, mal estar e sudorese. Na maior parte dos casos são observados eritema e formação de bolhas, evoluindo para uma ferida. O quadro clínico auxilia na seleção da terapêutica antimicrobiana empírica antes mesmo do resultado da cultura. Conclui-se que o diagnóstico precoce e o tratamento adequado e agressivo são determinantes no prognóstico do paciente. Ainda há escassez de produções científicas brasileiras com alto poder de evidência sobre o tema. Descritores: Gangrena de Fournier; Ferimentos e Lesões; Terapêutica; Revisão. El objetivo fue describir producciones brasileñas publicadas en los últimos veinte años acerca de la gangrena de Fournier. Revisión integradora realizada en las bases de datos LILACS, MEDLINE, BDENF y Colecciona SUS, con el descriptor "Gangrena de Fournier". Se seleccionaron textos publicados entre enero de 1994 y julio de 2014, en portugués y disponibles gratuitamente en Internet. Según los 14 artículos encontrados, los principales síntomas de la gangrena de Fournier incluyen malestar, con sensaciones dolorosas, fiebre alta, edema, malestar general, sudoración. En la mayor parte de los casos, son observados eritema y formación de bollas, surgiéndose una herida. El cuadro clínico ayuda en la selección de la terapia antimicrobiana empírica antes del resultado de la cultura. En conclusión, el diagnóstico precoz y el tratamiento apropiado y agresivo son cruciales en el pronóstico del paciente. Aún, hay escas...

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“…Thus, the system connects to a pump (vacuum) generating continuous or intermittent subatmospheric pressure. The pressure is generally set at 125mmHg and distributed uniformly over the entire wound through the sponge pores 19,[21][22][23] .…”

Section: A C Systemmentioning

confidence: 99%

Comparative study of abdominal cavity temporary closure techniques for damage control

Ribeiro

Barros

Carvalho

et al. 2016

Rev. Col. Bras. Cir.

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The damage control surgery, with emphasis on laparostomy, usually results in shrinkage of the aponeurosis and loss of the ability to close the abdominal wall, leading to the formation of ventral incisional hernias. Currently, various techniques offer greater chances of closing the abdominal cavity with less tension. Thus, this study aims to evaluate three temporary closure techniques of the abdominal cavity: the Vacuum-Assisted Closure Therapy - VAC, the Bogotá Bag and the Vacuum-pack. We conducted a systematic review of the literature, selecting 28 articles published in the last 20 years. The techniques of the bag Bogotá and Vacuum-pack had the advantage of easy access to the material in most centers and low cost, contrary to VAC, which, besides presenting high cost, is not available in most hospitals. On the other hand, the VAC technique was more effective in reducing stress at the edges of lesions, removing stagnant fluids and waste, in addition to acting at the cellular level by increasing proliferation and cell division rates, and showed the highest rates of primary closure of the abdominal cavity. RESUMO A cirurgia de controle de danos, com ênfase em peritoneostomia, geralmente resulta em retração da aponeurose e perda da capacidade de fechar a parede abdominal, levando à formação de hérnias ventrais incisionais. Atualmente, várias técnicas oferecem maiores chances de fechamento da cavidade abdominal, com menor tensão. Deste modo, este estudo tem por objetivo avaliar três técnicas de fechamento temporário da cavidade abdominal: fechamento a vácuo (Vacuum-Assisted Closure Therapy - VAC), Bolsa de Bogotá e Vacuum-pack. Realizou-se uma revisão sistemática da literatura com seleção de 28 artigos publicados nos últimos 20 anos. As técnicas de Bolsa de Bogotá e Vacuum-pack tiveram como vantagem o acesso fácil ao material, na maioria dos centros, e baixo custo, ao contrário do que se observa na terapia a vácuo, VAC, que além de apresentar alto custo, não está disponível em grande parte dos hospitais. A técnica VAC, por outro lado, foi mais eficaz na redução da tensão nas bordas das lesões, ao remover fluidos estagnados e detritos, além de exercer ação a nível celular, aumentando as taxas de proliferação e divisão celular, e apresentou as maiores taxas de fechamento primário da cavidade abdominal.

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Terapia por pressão negativa na ferida traumática complexa do períneo

Cited by 10 publications

References 13 publications

Successful Treatment of Pyoderma Gangrenosum after Augmentation Mastopexy Using Vacuum Therapy

Successful Treatment of Pyoderma Gangrenosum after Augmentation Mastopexy Using Vacuum Therapy

Brazilian scientific evidence on Fournier’s gangrene

Comparative study of abdominal cavity temporary closure techniques for damage control

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