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优化腹壁成形术切口的负压伤口治疗:人字形改良

Optimizing Negative Pressure Wound Therapy in Abdominoplasty Incisions: Chevron Modification.

作者信息

Ali Stephen R, Swarnkar Parinita, Whitaker Iain S

机构信息

From the Reconstructive Surgery and Regenerative Medicine Research Centre, Institute of Life Sciences, Swansea University Medical School, Swansea, United Kingdom.

Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, United Kingdom.

出版信息

Plast Reconstr Surg Glob Open. 2024 Sep 3;12(9):e6115. doi: 10.1097/GOX.0000000000006115. eCollection 2024 Sep.

Abstract

There has been increased use of negative pressure wound therapy (NPWT) to aid closure of abdominoplasty incisions; this obviates previous complications, including delayed wound healing. We describe a reproducible method of NPWT-assisted wound healing applicable to abdominal wounds. We propose a modified method of NPWT application, specific to the to Avance Solo NPWT system, to achieve optimal wound healing by promoting a suitable environment and decreasing high-tension forces. Postoperatively, this technique enables patient and nursing ease owing to increased durability and drainless follow-up. This is further emphasized by the results of a quantitative analysis of a 100-patient case series measuring clinically relevant objective and patient-satisfaction outcomes, and the cost analysis of use.

摘要

负压伤口治疗(NPWT)在腹壁成形术切口闭合中的应用日益增加;这避免了先前的并发症,包括伤口愈合延迟。我们描述了一种适用于腹部伤口的可重复的NPWT辅助伤口愈合方法。我们提出了一种针对Avance Solo NPWT系统的改良NPWT应用方法,通过促进合适的环境和减少高张力来实现最佳伤口愈合。术后,由于耐用性增强和无需引流随访,该技术使患者和护理工作更加轻松。对一个100例患者的病例系列进行的定量分析结果进一步强调了这一点,该分析测量了临床相关的客观结果和患者满意度结果以及使用成本分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd63/11368211/240826ec6c9d/gox-12-e6115-g001.jpg

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