Uso de esponja cirúrgica para curativo compressivo de enxerto cutâneo

Zanini, Maurício; Filho, Carlos D' Apparecida Santos Machado; Timoner, Fábio

doi:10.1590/s0365-05962004000300012

Cited by 6 publications

(12 citation statements)

References 4 publications

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“…After application of the respective solutions proceeded to the stitches of the surgical wound. The surgical sponges were done from the brushes used for antisepsis, as described in the literature (Zanini, 2004). All groups received postoperative dressing.…”

Section: Methodsmentioning

confidence: 99%

Surgical sponge associated with platelets rich plasma in skin mesh grafts and layer in rabbits (Oryctolagus cuniculus)

Pazzini

Serafim²,

Uscátegui

et al. 2018

Arq. Bras. Med. Vet. Zootec.

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The aim of this study was to evaluate of the efficacy of PRP employment associated with surgical sponges to improve the integration of the graft in the recipient bed. It was held at the Veterinary Hospital UNESP, Campus of Jaboticabal - SP, a study of 64 rabbits, divided into eight groups with eight animals. The groups were divided in control with saline solution 0,9%, control with PRP both without the sponge, surgical sponge with PRP, surgical sponge without PRP, and were used mesh and layer grafts in the respective groups. The data were submitted to statistical analysis (paired t-test, Kruskal-Wallis test, with subsequent use of the multiple comparison tests of Dunn, analysis of variance (F) test, Tukey test, P< 0.05). Edema and exudate with 3 and 3 and 7 days (P= 0,03 e P= 0,0049); coloring on the 14th day (P= 0,0001); cosmetic appearance on the 7th and 14th day (P= 0,0026 and P= 0,0001); mononuclear cells (P= 0,01) and polymorphonuclear (P= 0,01); fibroblast proliferation (P= 0,01); collagenous (P= 0,05); hemorrhage (P-007); necrosis and re-epithelialization (P= 0,2928 and P= 0,1). We concluded that the use of Platelet Rich Plasma Gel on skin grafts associated with a sponge as a compressive dressing promote the skin graft survival without a previous granulation tissue.

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Section: Methodsmentioning

confidence: 99%

Surgical sponge associated with platelets rich plasma in skin mesh grafts and layer in rabbits (Oryctolagus cuniculus)

Pazzini

Serafim²,

Uscátegui

et al. 2018

Arq. Bras. Med. Vet. Zootec.

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“…In cases where there is a need to evaluate the graft, both as to the sponge removal replacement is easier than other techniques. The reduction of patient discomfort means that any bleedings occurring in post-operative likely to be completely absorbed by the sponge (Zanini et al, 2004).…”

Section: Types Of Graftsmentioning

confidence: 99%

“…Moreover, the more compressive dressings are used Tie over (Fossum, 2007), which consists of suture material on the wound, and can be done with cotton, surgical sponges and foams. The idea of surgical sponges or foam is practical, by evenly distributing pressure on the wound (Zanini, 2004), and to promote healing and integration of the graft to the receiving region.…”

mentioning

confidence: 99%

Skin Grafts Associated with Platelet Rich Plasma and Surgical Sponge - Literature Review

Pazzini¹,

Serafim²,

Uscátegui³

et al. 2017

JAS

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Skin graft is one of the techniques used to reconstruct surgical wounds. The graft is composed of epidermal and dermal segments that are completely removed from the donor region and transferred to the recipient bed. After its implantation it's recommended to make compressive dressing in the receiver bed. Since the grafts do not have a vascular pedicle, it's important to make the compressive dressing to improve graft contact with the wound and allow adequate angiogenesis. The compressive dressing is made with a sponge or foam, which offers adequate protection and reduces the discomfort of the patient in the postoperative period. The use of platelet-rich plasma (PRP) is the objective of several studies associated with the reduction of postoperative surgical complications, especially necrosis. This product is a result of the centrifugation of the patient's blood that promotes the separation of its constituents and allows the extraction of plasma with higher concentration of platelets. PRP improves the tissue healing process by releasing biological mediators and growth factors at the site of application. Researches on platelet-rich plasma used in reconstructive surgery are important because this product has therapeutic characteristics to promote healing. When it's used in skin grafts, platelet-rich plasma is able to improve graft integration in the recipient bed, and reduce necrosis after the surgical procedure. The use of postoperative surgical sponges associated with platelet-rich plasma is indicated to improve the healing of the graft and to avoid its displacement of the recipient bed.

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“…Ataduras impropriamente enrugadas ou apertadas desgastam o enxerto, podendo ocasionar necrose, elas devem ser bem acolchoadas e volumosas para restringir o movimento do membro (HEADLUND, 2008). Zanini et al (2004) em publicação sobre curativos compressivos em enxertia cutânea, descreveram que o enxerto não apresenta pedículo vascular, e o objetivo do curativo compressivo é otimizar o contato do enxerto com o leito da ferida e permitir adequada angiogênese. Segundo os autores, o curativo compressivo reduzirá a possibilidade de deslocamentos que comprometeriam essa comunicação.…”

Section: Cuidados Pós-operatóriosunclassified

Enxertia Cutânea Em Pequenos Animais

Hermeto

DeRossi

2012

Nucleus Animal.

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RESUMO:A enxertia cutânea se caracteriza pelo transplante de um segmento de epiderme e derme sem comunicação com o local de origem, o que a diferencia dos retalhos e flapes cutâneos. É uma excelente opção para recobrimento de lesões extensas em que existe a impossibilidade de recobrir o defeito com retalhos ou por aproximação. As diferentes técnicas cirúrgicas existentes oferecem ao cirurgião possibilidades para se obter sucesso em lesões extensas em que existem tensão e ausência de tecido suficiente para o fechamento. Para que este sucesso seja alcançado cuidados com a coleta do enxerto, preparo correto do leito receptor, cuidados pós operatórios devem ser minimamente seguidos para que a completa revascularização do enxerto seja alcançada.Palavras-chave: Enxertos de pele. Cães. Gatos. SUMMARY:Skin grafting consists of the transplant of an epidermis and dermis segment with no communication with its place of origin, which makes it different from skin scraps and flaps. It is a great option for coating extensive lesions where there is the impossibility of coating the skin defect with scraps or by approximation. The different surgical techniques provide the surgeon with successful possibilities in extensive lesions in which there is tension and absence of enough tissue for closing. In order to reach such success, collecting the graft carefully, preparing the receptor correctly, as well as the post operative care must be followed strictly so that complete revascularization of the graft is achieved.Keywords: Skin grafts. Dogs. Cats. INTRODUÇÃOUm enxerto cutâneo corresponde a um segmento da epiderme e da derme que é completamente removido do corpo e transferido para o local receptor (HEADLUND, 2008), e também chamado de enxerto cutâneo livre, pois envolvem a remoção da pele completa a partir de uma área do corpo e sua implantação em outra (POPE, 1996). O histórico da enxertia cutânea é repleto de controvérsias, pois alguns acreditam que a técnica de enxertia ainda é mal atribuída a alguns. O que se sabe, é que tradicionalmente se iniciou na Índia, usando retalhos da região malar e fronte (HERMAN, 2002). Primeiramente, foi visto que os retalhos pediculados cutâneos foram anteriormente descritos, para posteriormente descrever-se a técnica de enxertia, a qual diferentemente da primeira não possui qualquer comunicação vascular com a região doadora (ANG, 2005).Os enxertos são classificados da seguinte maneira: auto-enxertos (enxertos autógenos)-os locais receptores e doadores provêm do mesmo animal; aloenxertos (homoenxertos)-os locais receptores e doadores pertencem a animais geneticamente diferentes, mas da mesma espécie; xenoenxertos (heteroenxertos ) -os locais receptores e doadores encontram-se em animais de espécies diferentes. Do ponto de vista clínico, os auto-enxertos são o tipo mais bem sucedido de enxerto, e são utilizados como

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Uso de esponja cirúrgica para curativo compressivo de enxerto cutâneo

Abstract: O enxerto cutâneo é um modo efetivo para restaurar feridas. O curativo compressivo é importante para a vitalidade do enxerto. Os autores observaram que o uso de esponja cirúrgica como curativo compressivo em enxertos cutâneos é factível e aconselhável.

Cited by 6 publications

References 4 publications

Surgical sponge associated with platelets rich plasma in skin mesh grafts and layer in rabbits (Oryctolagus cuniculus)

Surgical sponge associated with platelets rich plasma in skin mesh grafts and layer in rabbits (Oryctolagus cuniculus)

Skin Grafts Associated with Platelet Rich Plasma and Surgical Sponge - Literature Review

Enxertia Cutânea Em Pequenos Animais

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