MODIFICATION OF THE NEGATIVE PRESSURE THERAPY TECHNIQUE FOR TREATMENT OF WOUND INFECTION AFTER SPINAL SURGERY
ABSTRACT Objective To describe the indications and contraindications of negative pressure assisted wound therapy as well as a modification to the negative pressure technique that has been shown to shorten the number of changes of dressings and hospital stay with the early closure of the wound. Met...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Coluna (SBC)
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| Series: | Coluna/Columna |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512019000300246&lng=en&tlng=en |
| _version_ | 1818915475406454784 |
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| author | MARTÍN BETANCOURT-CARLOS ARELHI CATALINA GONZÁLEZ-CISNEROS JOSÉ MARÍA JIMÉNEZ-AVILA |
| author_facet | MARTÍN BETANCOURT-CARLOS ARELHI CATALINA GONZÁLEZ-CISNEROS JOSÉ MARÍA JIMÉNEZ-AVILA |
| author_sort | MARTÍN BETANCOURT-CARLOS |
| collection | DOAJ |
| description | ABSTRACT Objective To describe the indications and contraindications of negative pressure assisted wound therapy as well as a modification to the negative pressure technique that has been shown to shorten the number of changes of dressings and hospital stay with the early closure of the wound. Methods A review of the existing literature in the databases OVID, PubMed, Cochrane and Medigraphic was carried out in relation to the pressure-assisted closure of wounds. This is a non-invasive and active healing system that uses localized and controlled negative pressure, which consists of a specialized dressing that includes reticulated foam that removes the exudates through a tube to an airtight container. This set forms microdeformations in the wound bed, which are known to cause an important increase in fibroblastic migration and consequently of higher quality tissue, granulation tissue formation and angiogenesis. Results It was found that this method shortens the number of days of hospital stay. The technique describes the primary closure of the wound after intense cleansing and debridement of the non-viable tissue and signs of infection. Conclusions Negative pressure wound therapy is effective for the treatment of deep infections in postsurgical spinal wound, with average time of use of 1 to 4 weeks in the most severe cases. Level of evidence IV; Case Series. |
| first_indexed | 2024-12-20T00:02:52Z |
| format | Article |
| id | doaj.art-4e30164d2aed443b98a0d772b8c0872e |
| institution | Directory Open Access Journal |
| issn | 2177-014X |
| language | English |
| last_indexed | 2024-12-20T00:02:52Z |
| publisher | Sociedade Brasileira de Coluna (SBC) |
| record_format | Article |
| series | Coluna/Columna |
| spelling | doaj.art-4e30164d2aed443b98a0d772b8c0872e2022-12-21T20:00:46ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X18324625010.1590/s1808-185120191803222148S1808-18512019000300246MODIFICATION OF THE NEGATIVE PRESSURE THERAPY TECHNIQUE FOR TREATMENT OF WOUND INFECTION AFTER SPINAL SURGERYMARTÍN BETANCOURT-CARLOSARELHI CATALINA GONZÁLEZ-CISNEROSJOSÉ MARÍA JIMÉNEZ-AVILAABSTRACT Objective To describe the indications and contraindications of negative pressure assisted wound therapy as well as a modification to the negative pressure technique that has been shown to shorten the number of changes of dressings and hospital stay with the early closure of the wound. Methods A review of the existing literature in the databases OVID, PubMed, Cochrane and Medigraphic was carried out in relation to the pressure-assisted closure of wounds. This is a non-invasive and active healing system that uses localized and controlled negative pressure, which consists of a specialized dressing that includes reticulated foam that removes the exudates through a tube to an airtight container. This set forms microdeformations in the wound bed, which are known to cause an important increase in fibroblastic migration and consequently of higher quality tissue, granulation tissue formation and angiogenesis. Results It was found that this method shortens the number of days of hospital stay. The technique describes the primary closure of the wound after intense cleansing and debridement of the non-viable tissue and signs of infection. Conclusions Negative pressure wound therapy is effective for the treatment of deep infections in postsurgical spinal wound, with average time of use of 1 to 4 weeks in the most severe cases. Level of evidence IV; Case Series.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512019000300246&lng=en&tlng=enTratamento de Ferimentos com Pressão NegativaInfecçãoColuna Vertebral |
| spellingShingle | MARTÍN BETANCOURT-CARLOS ARELHI CATALINA GONZÁLEZ-CISNEROS JOSÉ MARÍA JIMÉNEZ-AVILA MODIFICATION OF THE NEGATIVE PRESSURE THERAPY TECHNIQUE FOR TREATMENT OF WOUND INFECTION AFTER SPINAL SURGERY Coluna/Columna Tratamento de Ferimentos com Pressão Negativa Infecção Coluna Vertebral |
| title | MODIFICATION OF THE NEGATIVE PRESSURE THERAPY TECHNIQUE FOR TREATMENT OF WOUND INFECTION AFTER SPINAL SURGERY |
| title_full | MODIFICATION OF THE NEGATIVE PRESSURE THERAPY TECHNIQUE FOR TREATMENT OF WOUND INFECTION AFTER SPINAL SURGERY |
| title_fullStr | MODIFICATION OF THE NEGATIVE PRESSURE THERAPY TECHNIQUE FOR TREATMENT OF WOUND INFECTION AFTER SPINAL SURGERY |
| title_full_unstemmed | MODIFICATION OF THE NEGATIVE PRESSURE THERAPY TECHNIQUE FOR TREATMENT OF WOUND INFECTION AFTER SPINAL SURGERY |
| title_short | MODIFICATION OF THE NEGATIVE PRESSURE THERAPY TECHNIQUE FOR TREATMENT OF WOUND INFECTION AFTER SPINAL SURGERY |
| title_sort | modification of the negative pressure therapy technique for treatment of wound infection after spinal surgery |
| topic | Tratamento de Ferimentos com Pressão Negativa Infecção Coluna Vertebral |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512019000300246&lng=en&tlng=en |
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