Makela J, Kivinieri H. Factors influencing wound dehiscence after midline laparotomy. Am J Surg ; Wissing J, Van V. Fascia closure after midline laparotomy: results of a randomized trial. Br J Surg ;

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Reporte de seis casos. Use of negative pressure for the treatment of complicated wounds. Report of six cases. Correspondencia: Dr. Del Valle. E-mail: lortegaleon yahoo. Objective: To know the usefulness of a therapy system based on negative pressure topically applied on a complicated surgical wound.

Setting: General Surgery Service, third level health care hospital. Design: Pilot study, prospective, longitudinal and descriptive. Statistical analysis: Central tendency measures. Patients and methods: We present six post-operated patients with open complicated surgical wounds. All with infection demonstrated by culture and output of purulent material: three patients with open abdomen due to abdominal sepsis, one with post-traumatic thoracic injury, one with an supracondyle infected stump, and the last with complicated surgical wound due to dermolipectomy, all of them with treatments of the surgical wound before applying negative pressure.

We included consecutive patients coursing with complicated infected wounds, prolonged in-hospital stay, and who did not improve with traditional medical treatment. Results: The time of negative pressure application for the six patients ranged from 6 to 26 days, with satisfactory evolution, obtaining the expected improvement of the surgical wound and the abdominal cavity. In the three patients with open abdomen and previous treatment with Bogota pouch, the abdominal cavity could be closed between 14 and 26 days of negative pressure treatment; in the other three patients with more superficial wounds, closure of the wound was achieved between the 6 th and 14 th day.

All patients were followed for more than 5 months, the wound remained closed and without any alterations. Key words: Negative pressure, complicated surgical wound, surgical wounds treatment, Bogota pouch.

El cultivo detecta Staphylococcus sciuri. Alta el 16 de mayo. Alta el 22 de junio. Alta el 30 de mayo. Egresa el 30 de mayo. Los seis casos han sido seguidos con manejo ambulatorio, sin presentarse complicaciones posteriores.

Los pacientes tratados en la presente serie de casos mostraron buena respuesta al tratamiento y fueron egresados sin complicaciones. Supplemental perioperative oxygen to reduce the incident of surgical wound infection. New Eng J Med ; Dunn DL. The biological rationale. A guide to management of surgical infections.

New York Three hundred consecutive emergent celiotomies in general surgery patients: influence of advanced diagnostic imaging techniques and procedures on diagnosis. Ann Surg ; Surgical site infection and the routine use of perioperative hyperoxia in general surgery population: a randomized controlled trial.

JAMA ; Guidelines for the selection of anti-infective agents for complicated intra-abdominal infections. Clin Infect Dis ; Microdeformational wound therapy: effects on angiogenesis and matrix metalloproteinases in chronic wounds of three debilitated patients.

Ann Plast Surg ; Principles of wound management. In Briant R. Acute and Chronic Wounds: Nursing management. St Louis MO Mosby, Falanga V. Growth factors and chronic wounds: the need to understand the microenviroment. J Dermatol ; Mendez-Eastman S. Guidelines for using negative pressure wound therapy. Adv Skin Wound Care ; Vacuum-assisted closure: microdeformations of wounds and cells proliferation.

Plast Reconst Surg ; The use of vacuum-assisted closure therapy for the treatment of lower-extremity wounds with exposed bone. Experience with the vacuum assisted closure negative pressure technique in the treatment of non-healing diabetic and dysvascular wounds. Foot Ankle Int ; Mechanism and clinical applications of the vacuum-assisted closure VAC Device: a review. Am J Clin Dermatol ; 6: Guidelines for the management of the open abdomen.

Wounds ; 17 Supl October issue : Kaplan MJ. Negative pressure wound therapy in the management of abdominal compartment syndrome. Abdominal dressing: A new standard therapy of the open abdomen following secundary peritonitis?

Zentralb Chir ; Suppl 1 : SS Servicios Personalizados Revista. Similares en SciELO. Abstract Objective: To know the usefulness of a therapy system based on negative pressure topically applied on a complicated surgical wound. Calzada General Anaya No.


2000, NĂºmero 5

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