Curativos para tratamento de feridas operatórias abdominais: uma revisão sistemática

Silva, Carolina Giordani da; Crossetti, Maria da Graça Oliveira

doi:10.1590/s1983-14472012000300024

Cited by 11 publications

(7 citation statements)

References 23 publications

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“…The systematic review begins from an appropriate definition of the guiding question, known as the problem. At this moment, aspects directly related to the objective should be considered as participants, interventions should be evaluated, and outcomes measured (13) . For this to occur, PICO is used which refers to four important components for the formulation of a research question, where P = participant, I = intervention, C = control and O = outcome.…”

Section: Methodsmentioning

confidence: 99%

Utilização de nanopartículas no tratamento de feridas: revisão sistemática

Silva

Aguiar

Rodrigues

et al. 2018

Rev. esc. enferm. USP

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Objective:To analyze the effects of nanoparticle-based dressings on the wound healing process in in vitro animals and human cells based on scientific evidence. Method: A systematic review of the literature in LILACS, PubMed and Science Direct databases. The articles were selected and evaluated for the level of evidence by the application of STROBE. Results: The sample consisted of 12 articles. The application of the products occurred in surgical wounds, burns, infected wounds and gingival ulcers in laboratory animals, as well as in vitro tests, demonstrating that among other advantages, the nanoparticle-based dressings increased the healing speed, had good antibacterial capacity and were non cytotoxic agents. Conclusion: Based on the analyzed articles, it can be affirmed that dressings containing nanocomposites are quite promising and are shown as a great therapeutic option in wound healing.

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Section: Methodsmentioning

confidence: 99%

Utilização de nanopartículas no tratamento de feridas: revisão sistemática

Silva

Aguiar

Rodrigues

et al. 2018

Rev. esc. enferm. USP

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“…Systematic reviews 8,9 and a randomized study 10 show the effectiveness of negative pressure dressings in a range of situations, in terms both of the proportion of wounds healed and the speed with which they close, and they are particularly effective for diabetic feet, [11][12][13] skin grafts 14 and infections after surgery. 15,16 However, there is still a lack of good quality randomized studies free from conflicts of interest that would allow the method to be evaluated more thoroughly. 17 Complications that have been described in relation to vacuum dressings are uncommon and the majority are related to local pain, hypertrophy of granulation tissue, and damage to adjacent blood vessels.…”

Section: Discussionmentioning

confidence: 99%

Uso de curativo a vácuo como terapia adjuvante na cicatrização de sítio cirúrgico infectado

et al. 2017

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Infections at the sites of surgery involving synthetic prostheses are challenging to treat. We present a case of a patient with multiple comorbidities who had undergone an aortobifemoral bypass 6 years previously and then re-intervention at the femoral anastomoses for restenosis 5 years previously. The patient presented with acute left inguinal pain and swelling and was diagnosed with a ruptured femoral pseudoaneurysm and hemodynamic instability. A repair was conducted by interposition of a silver-coated Dacron graft in the emergency room, and a large abdominal incisional hernia was repaired with synthetic mesh during the same intervention. After surgery, the patient remained intubated in intensive care for a long period. Meanwhile, she presented dehiscence of sutures and a left inguinal purulent fistula that was in contact with the vascular prosthesis. Conservative treatment was chosen, with debridement of wounds and vacuum therapy. The patient improved and the wounds healed. This could be an important tool in similar cases.Keywords: treatment; healing; abdominal injury closure techniques; infection; vascular prosthesis. ResumoInfecções de sítios cirúrgicos com envolvimento de próteses sintéticas constituem grande desafio para tratamento. Apresentamos o caso de uma paciente com múltiplas comorbidades, histórico de enxerto aortobifemoral há 6 anos e reabordagem das anastomoses femorais por reestenoses há 5 anos. Apresentou dor inguinal esquerda e abaulamento súbitos com diagnóstico de pseudoaneurisma femoral roto e instabilidade hemodinâmica. Foi submetida a correção emergencial com interposição de prótese de dácron recoberta por prata e correção de grande hérnia incisional abdominal com tela sintética ao mesmo tempo. No pós-operatório, manteve-se por longo período sob terapia intensiva com dificuldade de extubação. Nesse ínterim, apresentou deiscência das suturas e fístula purulenta inguinal esquerda em contato com a prótese vascular. Optou-se pelo tratamento conservador, com desbridamento das feridas e aplicação de curativo a vácuo. A paciente evoluiu com melhora e cicatrização das feridas. Essa pode se constituir em ferramenta importante em casos similares.Palavras-chave: terapêutica; cicatrização; técnicas de fechamento de ferimentos abdominais; infecção; prótese vascular.

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“…In order to formulate the question, it is recommended to define at least the P and the I parameters [11][12]. Thus, the following question was elaborated: what evidence is available about interventions developed by the nurses to prevent foot ulcers in people with DM?…”

Section: Methodsmentioning

confidence: 99%

Nursing Interventions For The Prevention Of Foot Ulcers In Patients With Diabetes: An Integrative Review

et al. 2017

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Objective: This study aims to perform a literature review of nursing interventions for ulcer prevention in patients with diabetic foot.Method: This is an integrative review which included studies from BDENF, LILACS, IBECS, CINAHL and PubMed databases, as well as the virtual library SCIELO without time restriction. Results:The authors identified fifteen articles that met the study criteria. Nursing interventions for ulcer prevention in diabetic foot were performed both individually and on a collective basis, or as combination. The huge majority of interventions were done in institutional programs for health promotion. Conclusion:The current evidence demonstrates the importance of health education as a tool in diabetic foot and lower extremities amputation prevention. This type of education increases patient's awareness of their own disease and help them to develop skills for self-care and better lifestyle.

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Curativos para tratamento de feridas operatórias abdominais: uma revisão sistemática

Abstract: Further research is suggested, so that the effectiveness and feasibility of VAC therapy in our reality can be assessed.

Cited by 11 publications

References 23 publications

Utilização de nanopartículas no tratamento de feridas: revisão sistemática

Utilização de nanopartículas no tratamento de feridas: revisão sistemática

Uso de curativo a vácuo como terapia adjuvante na cicatrização de sítio cirúrgico infectado

Nursing Interventions For The Prevention Of Foot Ulcers In Patients With Diabetes: An Integrative Review

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