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首页> 外文期刊>Coluna/Columna >MODIFICA??O DA TéCNICA DE TERAPIA DE PRESS?O NEGATIVA PARA TRATAMENTO DE INFEC??O DE FERIDA DEPOIS DE CIRURGIA DE COLUNAMODIFICACIóN DE LA TéCNICA DE TERAPIA DE PRESIóN NEGATIVA PARA TRATAMIENTO DE INFECCIóN DE LA HERIDA DESPUéS DE CIRUGíA DE COLUMNA
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MODIFICA??O DA TéCNICA DE TERAPIA DE PRESS?O NEGATIVA PARA TRATAMENTO DE INFEC??O DE FERIDA DEPOIS DE CIRURGIA DE COLUNAMODIFICACIóN DE LA TéCNICA DE TERAPIA DE PRESIóN NEGATIVA PARA TRATAMIENTO DE INFECCIóN DE LA HERIDA DESPUéS DE CIRUGíA DE COLUMNA

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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.
机译：目的描述负压辅助伤口治疗的适应症和禁忌症以及对负压技术的修饰，已被证明缩短敷料和住院的敷料变化的变化次数随着伤口的早期闭包。方法对数据库中存在的文献综述，在伤口的压力辅助闭合方面进行了数据库中的现有文献。这是一种非侵入性和主动愈合系统，其使用局部和控制的负压，这包括专用敷料，该专用敷料包括网状泡沫，其通过将渗出物通过管去除到气密容器中。该组在伤口床中形成微码，这已知已知引起成纤维结构迁移的重要增加，因此具有更高质量的组织，造粒组织形成和血管生成。结果发现，该方法缩短了住院时间的天数。该技术描述了在不活组织的强烈清洁和清除后伤口的初级闭合和感染迹象。结论负压伤口治疗对于治疗后期脊柱伤害的深感染有效，在最严重的情况下平均使用1至4周。证据IV水平;案例系列。

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