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Simplified vacuum dressing system: effectiveness and safety in wounds management
Souza, Sandro Cilindro de; Mendes, Carlos Maurício Cardeal; Meneses, José Valber Lima; Dias, Rosana Menezes.
Affiliation
  • Souza, Sandro Cilindro de; Universidade Federal da Bahia. Instituto de Ciências de Saúde. Programa de Pós-Graduação. Salvador. BR
  • Mendes, Carlos Maurício Cardeal; Universidade Federal da Bahia. Instituto de Ciências de Saúde. Programa de Pós-Graduação. Salvador. BR
  • Meneses, José Valber Lima; Universidade Federal da Bahia. Faculdade de Medicina. Departamento de Cirurgia Plástica. Salvador. BR
  • Dias, Rosana Menezes; Secretaria da Saúde do Estado da Bahia. Hospital Carvalho Luz. Salvador. BR
Acta cir. bras ; Acta cir. bras;37(9): e370906, 2022. ilus, tab
Article in En | LILACS, VETINDEX | ID: biblio-1413628
Responsible library: BR68.1
ABSTRACT

Purpose:

Negative pressure wound therapy (NPWT) has revolutionized wound care, but its high cost reduces the procedure's availability. To solve the problem, streamlined vacuum dressings systems have been proposed, but the utility of these devices has been poorly studied. The objective of this study was to evaluate a simplified vacuum dressing system model (SVDM).

Methods:

Randomized clinical trial in which wounds were treated with SVDM compared to a complex occlusive dressing (silver hydrofiber, SHF). The analyzed outcomes were cleaning, presence of granulation tissue, clinical appearance, and indication for surgical closure of wounds.

Results:

Fifty injuries were treated (25 in each group), most located on lower limbs. SVDM proved to be more effective than SHF in the evaluated outcomes. Wound recalcitrance reduced the effectiveness of the equipment used. Despite its efficacy, complications occurred, the most frequent related to dressing changes minor bleeding, foam adherence to a wound bed, and pain. Only for bleeding no favorable risk-benefit ratio was found. There were no severe complications, worsening conditions of injuries, or deaths.

Conclusions:

SVDM proved to be an effective and acceptably safe device for managing studied wounds.
Subject(s)
Key words

Full text: 1 Index: LILACS Main subject: Wounds and Injuries / Silver Compounds / Negative-Pressure Wound Therapy / Occlusive Dressings Type of study: Clinical_trials Limits: Humans Language: En Journal: Acta cir. bras Journal subject: Cirurgia Geral / Procedimentos Cir£rgicos Operat¢rios Year: 2022 Type: Article

Full text: 1 Index: LILACS Main subject: Wounds and Injuries / Silver Compounds / Negative-Pressure Wound Therapy / Occlusive Dressings Type of study: Clinical_trials Limits: Humans Language: En Journal: Acta cir. bras Journal subject: Cirurgia Geral / Procedimentos Cir£rgicos Operat¢rios Year: 2022 Type: Article