Complex Wounds

Ferreira, Marcus Castro; Júnior, Paulo Tuma; Carvalho, Viviane Fernandes de; Kamamoto, Fabio

doi:10.1590/s1807-59322006000600014

Cited by 131 publications

(142 citation statements)

References 87 publications

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“…10,11 These injuries are still an important cause of morbidity and mortality, presenting an impact on the quality of life of patients due to complications such as pain, infections, and amputations, as well as on their relatives, resulting not only in a health problem, but also in a social and economic one. 11,12 Their treatment is challenging due to its prolonged duration (resulting in difficulties regarding the clinical follow-up) and also high costs. 11,12 The conservative treatment generally consists of a multidisciplinary team, involving mainly a medical and a nursing team to perform the cleaning, hydration, debridement, and dressing of the lesions.…”

mentioning

confidence: 99%

Benefits of extracorporeal shockwave in the treatment of skin ulcers: a literature review

Pai

Toma²,

Rampim³

et al. 2016

Acta Fisiátrica

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Extracorporeal shockwave therapy (ESWT) has analgesic and anti-inflammatory effects. With the evolution and comprehension of its biological and physical mechanisms, the application of ESWT on other pathologies has also been studied, especially in musculoskeletal diseases. Recently, studies on animal models have shown its angiogenic capacity and a higher rate of local re-epithelization. These small studies led to few trials using low-energy, radial ESWT to treat problematic chronic skin ulcers. Skin ulcers have diverse etiologies, ranging from pressure ulcers, burns, venous or arterial ulcers, and even diabetic ulcers. Their treatment is usually a challenge, due to the long-term treatment and high costs. Objective: To review the literature and evaluate the efficacy of ESWT in caring for skin ulcers of various etiologies: diabetic ulcers, pressure ulcers, burns, post-traumatic ulcers, venous and arterial ulcers. Method: A literature review was made, with only human trials included. Results: 9 articles were selected that fulfilled the eligibility criteria. The studies included evaluations of 788 patients. The manuscripts demonstrated a large variability regarding the interventions made. There was heterogeneity regarding intervention time, number of pulses, frequency of sessions, and also the number of sessions, energy density used, and the type of shock wave used in therapies. Some of the included trials found a higher rate of complete wound healing and faster epithelization in patients with chronic lesions, unresponsive to the traditional measures. However, there were few studies in the literature with proper methodological quality. Conclusion: ESWT is a promising alternative for the treatment of patients unresponsive to conventional measures. The results are promising, although the evidence regarding wound healing and acceleration of wound healing is still limited. The studies selected did not report any significant side effects.

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mentioning

confidence: 99%

Benefits of extracorporeal shockwave in the treatment of skin ulcers: a literature review

Pai

Toma²,

Rampim³

et al. 2016

Acta Fisiátrica

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“…These complex wounds can cause terrible morbidity and constitute a public health problem for many centers [2]. Through the years, researchers have devised a hierarchy of procedures within a hypothetical reconstructive ladder to guide the surgical treatment of wounds.…”

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confidence: 99%

Letter to the Editor: Negative Pressure Wound Therapy in Grade IIIB Tibial Fractures: Fewer Infections and Fewer Flap Procedures?

Farina

Almeida

Marques

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…n polytrauma patients, the treatment of complex wounds to the limbs, defined as acute and extensive loss of cutaneous coverage, associated or not with fractures, should constitute a significant part of care 1 . Management of the simplest cases is often successfully carried out by trauma staff initial care.…”

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confidence: 99%

Uso da terapia por pressão subatmosférica em feridas traumáticas agudas

Milcheski

Ferreira

Nakamoto

et al. 2013

Rev. Col. Bras. Cir.

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OBJETIVO: avaliar a experiência com o emprego de terapia por pressão subatmosférica no tratamento das lesões traumáticas agudas das partes moles, em especial nos membros. MÉTODOS: cento e setenta e oito pacientes com feridas traumáticas foram tratados pelo Centro de Feridas Complexas no período de janeiro de 2010 a dezembro de 2011 e, submetidos à terapia por pressão subatmosférica. RESULTADOS: dos 178 pacientes submetidos à terapia por pressão subatmosférica, 129 (72,5%) eram do sexo masculino e 49 (27,5%) apresentavam idade entre 18 e 40 anos. Os ferimentos descolantes nos membros foram o tipo de ferida traumática mais comum, sendo responsáveis pela internação de 83 (46,6%) pacientes. O tempo médio de internação hospitalar foi 17,5 dias. Foram realizados 509 procedimentos cirúrgicos (média de 2,9 por paciente). A terapia por pressão subatmosférica foi utilizada em 287 procedimentos, sendo 209 (72,8%) sobre feridas traumáticas e 78 (27,2%) sobre enxertos de pele. O número de trocas de terapia por pressão negativa por paciente foi 1,6 e o tempo médio de utilização foi 8,5 dias por paciente. CONCLUSÃO: os resultados foram considerados satisfatórios, diminuindo consideravelmente a morbidade e o tempo de cicatrização dessas lesões em comparação com tratamentos anteriormente executados como curativos. A terapia por pressão subatmosférica é um método útil no tratamento de feridas agudas traumáticas, atuando como ponte entre o tratamento de urgência e a cobertura cutânea definitiva destas lesões, em comparação com métodos mais tradicionais da cirurgia plástica.

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Complex Wounds

Cited by 131 publications

References 87 publications

Benefits of extracorporeal shockwave in the treatment of skin ulcers: a literature review

Benefits of extracorporeal shockwave in the treatment of skin ulcers: a literature review

Letter to the Editor: Negative Pressure Wound Therapy in Grade IIIB Tibial Fractures: Fewer Infections and Fewer Flap Procedures?

Uso da terapia por pressão subatmosférica em feridas traumáticas agudas

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