Wada Alexandre, Ferreira Marcus Castro, Tuma Júnior Paulo, Arrunátegui Gino
Division of Plastic Surgery, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, CEP 01403-002 São Paulo, Brazil.
Sao Paulo Med J. 2006 May 4;124(3):150-3. doi: 10.1590/s1516-31802006000300008.
Use of topical negative pressure over difficult-to-heal wounds has been studied. The objective of this study was to analyze the effects from negative pressure in the treatment of complex wounds.
Case series developed at Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo.
Twenty-nine patients with complex wounds were treated with the vacuum system and then underwent a surgical procedure to close the wound.
85% of the skin grafts took well, and 87.5% of the local flaps were successful, thus demonstrating adequate wound preparation. The wounds were closed within shorter times than observed using other conventional treatments In two cases, the vacuum system was also used to stabilize the skin grafts over the wounds.
Use of the vacuum method is safe and efficient for preparing wounds for surgical closure. It allows for an improvement of local wound conditions, and healthy granulation tissue develops with control over local infection.
已对在难愈合伤口上使用局部负压进行了研究。本研究的目的是分析负压在治疗复杂伤口中的效果。
圣保罗大学医学院临床医院开展的病例系列研究。
29例复杂伤口患者接受真空系统治疗，然后接受手术闭合伤口。
85%的皮肤移植成功，87.5%的局部皮瓣手术成功，表明伤口准备充分。与其他传统治疗方法相比，伤口闭合时间更短。在两例病例中，真空系统还用于稳定伤口上的皮肤移植。
使用真空方法为手术闭合伤口做准备安全且有效。它可改善局部伤口状况，在控制局部感染的情况下形成健康的肉芽组织。
