Negative Pressure Therapy in the Surgical Treatment of Diabetic Foot

Ciuntu, Bogdan Mihnea; Vasiluta, Ciprian; Negru, Robert D.; Hultoana, Roxana; Ciuntu, Roxana Elena; Georgescu, Şt; Sîrbu, Paul Dan; Azoicăi, Doina

doi:10.37358/rc.17.7.5736

Cited by 5 publications

(5 citation statements)

References 11 publications

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“…Due to wound healing problems, skin retraction and low soft tissue, one patient had skin necrosis which needed surgical excision and negative pressure therapy [19].…”

Section: Resultsmentioning

confidence: 99%

Constrained Rotating Hinge Prostheses in Severe Haemophilic Knee Osteoarthritis

Veringa¹,

Friedl²,

Forna³

et al. 2018

Mat.Plast.

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The purpose of this experimental study is to present the design and biomechanical characteristics of cemented total knee prostheses type rotating-hinge RT-PLUS® (Smith and Nephew), as well as to evaluate their use in severe haemophilic knee arthropathy with major bone damage, ligamentous lesions, axial deviations and muscle retractions. We retrospectively evaluated 5 patients with severe haemophilic arthropathy with an average age of 48.5years. The functional results are good, with a significant improvement of range of motion (ROM) and pain relief resulting in a much better life quality. We did not have any stem loosening or any other complications except 2 wound healing problems which were treated successfully. The authors recommend this type of arthroplasty in severe haemophilic knee arthropathy or in any primary knee osteoarthritis with severe bone loss or any kind of ligamentous lesions.

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“…Due to wound healing problems, skin retraction and low soft tissue, one patient had skin necrosis which needed surgical excision and negative pressure therapy [19].…”

Section: Resultsmentioning

confidence: 99%

Constrained Rotating Hinge Prostheses in Severe Haemophilic Knee Osteoarthritis

Veringa¹,

Friedl²,

Forna³

et al. 2018

Mat.Plast.

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“…Depending on the underlying pathology, chronic wounds and swelling are often concomitant, and accumulated excess fluids being accepted as a contraventional healing factor by the compression effect exerting locally on cells and tissues. Applying negative pressure in these situations reduces extracellular fluid accumulation resulting in a better blood perfusion [13].…”

Section: Resultsmentioning

confidence: 99%

Negative Pressure Therapy in Abdominal Compartment Syndrome

Ciuntu¹,

Vasiluta²,

Anton³

et al. 2017

Rev. Chim.

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The abdominal vacuum-assisted closure (VAC) system has been introduced, providing a new possibility to treat an open abdomen. Abdominal compartment syndrome has a great relevance in surgical practice and patient care in critical condition due to the effects of increased pressure in the enclosed space of the abdomen can lead to multiple organ failure. A prospective study was conducted on a sample of 15 patients with severe acute pancreatitis (SAP) was retrospectively analyzed, following the incidence of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS),the effectiveness of the therapeutic methods applied in reducing the intra-abdominal pressure (PIA), the evolution of severity scores, lenght of stay in intensive care unit between January 2014 -March 2017, following negative pressure therapy. There were used vacuum assisted closure devices (VAC ™ -Hartman) in order to apply negative pressure to the open abdomen, while complying with specified settings in accordance with patients' outcome. Surgery for abdominal decompression in PAS with SCA is an emergency and was imposed on 14 of the 15 patients . In the studied group, the first decompression procedure was performed on days 2 to 5 from intake, as PIA increased in evolution despite medical methods. Only 1 patient hospitalized with SAP PIA decreased by medical methods and after haemofiltration. Acute severe pancreatitis remains a serious pathology in spite of a maximum medical and surgical therapy.Continuous venous haemofiltration has contributed to lowering intraabdominal pressure. Surgery with decompression vacuum systems with negative pressure lead to a significant decrease in PIA.

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“…Angiogenesis is initiated by the cell bed microdeformation that cause local hypoxia and thus leads to an increase in the vascular endothelial growth factor (vascular endothelial growth factor -VEGF). The temporary reduction of blood flow to the edges of the wound stimulates angiogenesis through hypoxia-inducible factor (HIF) -1alfa -> VEGF with an increase in density of microcirculation [6].…”

Section: Resultsmentioning

confidence: 99%

The Importance of Specific Antibiotic Therapy in the Evolution of Retinal Vasculitis

Anton¹,

Alexa²,

Cantemir³

et al. 2017

Rev. Chim.

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Ischemic retinal vasculitis is an inflammation of retinal blood vessels associated with vascular occlusion and retinal hypoperfusion. It may cause visual loss secondary to macular ischaemia, macular edema and neovascularization leading to vitreous hemorrhage, fibroblastic proliferation and retinal detachment by traction. Corticosteroids with or without immunosuppressive medication are the main treatment in retinal vasculitis associated with laser photocoagulation of retinal ischemic regions. In Lyme�s disease, etiologic treatment is achieved with Ceftriaxone that can be associated in some cases with corticosteroids. In this paper, we report about a patient who presented for the decrease of about 1.5 months of painless, asymptomatic visual acuity (VA). The patient was diagnosed with oclusive retinal vasculitis and followed a series of investigations to identify the etiology. The presence of anti-borelial antibodies required the administration of specific treatment with ceftriaxone 1g / 12h to which was added after 48h systemic corticosteroids, with slow evolution favourable. This association of retinal vasculitis - Lyme was quite rare and difficult to demonstrate. The prognosis of patients with retinal vasculitis is variable. Many patients may have a relatively benign condition or may have a dramatic response to systemic imunosuppressive therapy and will retain visual function. In the long run, despite specific treatment, it is unfavorable due to the evolution of retinal atrophy with visual field and visual function. Patients with ischemic retinal vasculitis represent a significant management challenge and, if not treated properly, can lead to a severe, irreversible visual loss.

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Negative Pressure Therapy in the Surgical Treatment of Diabetic Foot

Cited by 5 publications

References 11 publications

Constrained Rotating Hinge Prostheses in Severe Haemophilic Knee Osteoarthritis

Constrained Rotating Hinge Prostheses in Severe Haemophilic Knee Osteoarthritis

Negative Pressure Therapy in Abdominal Compartment Syndrome

The Importance of Specific Antibiotic Therapy in the Evolution of Retinal Vasculitis

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