Negative pressure therapy in treatment of severe compex injuries of upper and lower extremities

Horehliad, O. and Naumenko, L. (2018) Negative pressure therapy in treatment of severe compex injuries of upper and lower extremities. Magyar Tudományos Journal, 16. pp. 19-22.

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NEGATIVE PRESSURE THERAPY IN TREATMENT OF SEVERE COMPEX INJURIES OF UPPER AND LOWER EXTREMITIES-converted.pdf

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Abstract

34 cases of complex musculoskeletal wound involving lower and upper extremities were included in this study. In all patients, debridement and fasciotomy was done before the application of VAC therapy or conventional treatment of wounds. 18 patients were included to the investigated group with application of VAC-assistance. The conventional wound treatment with antiseptics and gauze dressings was applied for 16 patients of control group. Control checkpoints were on third and seventh day of the treatment. The evaluation of results included healing rate of the wound that particularly meant the difference between initial wound area and wound area on checked time points. There was significant decrease in average wound size attained by VAC therapy (1.6 cm2 after 3 days and 3.9 cm2 after 7 days) in comparison to the conventional one (0.8 cm2 and 3 cm2 respectively). VAC therapy using negative pressure promote wound healing by increasing local capillary perfusion and increased rate of gran-ulation tissue formation, decreases the duration of wound healing and requires fewer painful dressing change.

Item Type: Article
Uncontrolled Keywords: negative pressure wound therapy; wound healing; combat injury; wound closure.
Subjects: Damage to hand
Divisions: Faculty of Postgraduate Education > Department of Medical and Social Expertise and Rehabilitation FPE
Depositing User: Оксана Мажуга
Date Deposited: 06 Feb 2019 12:25
Last Modified: 06 Feb 2019 12:25
URI: http://repo.dma.dp.ua/id/eprint/3791

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