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使用新型透明负压敷料进行二期伤口闭合。

Secondary wound closure with a new transparent negative-pressure dressing.

作者信息

Loske Gunnar

机构信息

, Alfredstraße 9, 22087, Hamburg, Germany.

出版信息

Chirurgie (Heidelb). 2024 Dec;95(Suppl 1):1-5. doi: 10.1007/s00104-023-01864-3. Epub 2023 May 22.

DOI:10.1007/s00104-023-01864-3
PMID:37212850
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11649754/
Abstract

Secondary healing surgical wounds can be treated with negative-pressure therapy. Dressing changes can be painful due to the strong adherence of the polyurethane foam placed in the wound. After debridement and conditioning of the wound bed, secondary surgical wound closure with a surgical suture can be performed. Cutaneous negative-pressure therapy is used preventively after primary surgical suturing. Descriptions for secondary wound closure without a surgical suture are not known to date. The preparation and handling of an innovative transparent dressing for the cutaneous application of negative-pressure therapy is demonstrated here. The dressing assembly consists of a transparent drainage film and a transparent occlusion film. Negative pressure is applied via a tubing connector using a negative pressure pump. A new method of secondary wound closure using the transparent negative-pressure dressing is presented based on a case example. The treatment cycle with instructions for making the dressing is shown in a video.

摘要

二期愈合的手术伤口可用负压疗法治疗。由于置于伤口内的聚氨酯泡沫粘连牢固，换药时会很疼。在对伤口床进行清创和预处理后，可用手术缝线进行二期手术伤口缝合。一期手术缝合后预防性使用皮肤负压疗法。目前尚不知无手术缝线的二期伤口闭合的描述。本文展示了一种用于皮肤负压疗法的创新型透明敷料的制备和使用方法。该敷料组件由透明引流膜和透明封闭膜组成。通过管路连接器使用负压泵施加负压。基于一个病例实例，介绍了一种使用透明负压敷料进行二期伤口闭合的新方法。视频展示了带有敷料制作说明的治疗周期。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ae3/11649754/c01de9ebfd14/104_2023_1864_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ae3/11649754/bb2a17a53832/104_2023_1864_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ae3/11649754/dcfd865cc775/104_2023_1864_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ae3/11649754/c01de9ebfd14/104_2023_1864_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ae3/11649754/bb2a17a53832/104_2023_1864_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ae3/11649754/dcfd865cc775/104_2023_1864_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ae3/11649754/c01de9ebfd14/104_2023_1864_Fig3_HTML.jpg

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本文引用的文献

1
Intrathoracic negative pressure therapy for pleural empyema using an open-pore drainage film.胸腔内负压引流治疗脓胸的开放式多孔引流膜。
Chirurgie (Heidelb). 2023 Jun;94(6):530-543. doi: 10.1007/s00104-023-01827-8. Epub 2023 Mar 15.
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Pre-emptive active drainage of reflux (PARD) in Ivor-Lewis oesophagectomy with negative pressure and simultaneous enteral nutrition using a double-lumen open-pore film drain (dOFD).预防性主动引流反流（PARD）在 Ivor-Lewis 食管切除术中的应用，采用负压和双腔开放式多孔膜引流（dOFD）同时进行肠内营养。
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Successful surgical closure of infected abdominal wounds following preconditioning with negative pressure wound therapy.
经负压伤口治疗预处理后成功缝合感染性腹部伤口。
Langenbecks Arch Surg. 2021 Nov;406(7):2479-2487. doi: 10.1007/s00423-021-02221-w. Epub 2021 Jun 17.
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The Effect of Negative Pressure in the Abdominal Cavity With Suprasorb CNP on Abdominal Organs-An Experimental Study.腹腔内负压联合Suprasorb CNP对腹部器官的影响——一项实验研究
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5
Effect of Negative Pressure Therapy on Open Abdomen Treatments. Prospective Randomized Study With Two Commercial Negative Pressure Systems.负压疗法对开放性腹部治疗的影响。使用两种商用负压系统的前瞻性随机研究。
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The impact of negative pressure wound therapy for closed surgical incisions on surgical site infection: A systematic review and meta-analysis.负压伤口疗法对闭合性手术切口的影响：系统评价和荟萃分析。
Surgery. 2020 Jun;167(6):1001-1009. doi: 10.1016/j.surg.2020.01.018. Epub 2020 Mar 3.
7
Prophylactic Negative Pressure Wound Therapy for Closed Laparotomy Incisions: A Meta-analysis of Randomized Controlled Trials.预防性负压伤口治疗在闭合式剖腹切口的应用：一项随机对照试验的荟萃分析。
Ann Surg. 2020 Jan;271(1):67-74. doi: 10.1097/SLA.0000000000003435.
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Tips and tricks for endoscopic negative pressure therapy.内镜负压治疗的技巧与窍门。
Chirurg. 2019 Jan;90(Suppl 1):7-14. doi: 10.1007/s00104-018-0725-z.
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Ingrowth and device disintegration in an intralobar abscess cavity during endosponge therapy for esophageal anastomotic leakage.食管吻合口漏腔内应用内支架治疗期间的内生性生长及装置崩解
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