ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Subatmospheric Pressure Wound Dressing In Wound Management: Medical Education
Dr. Nesrin TAN BAŞER,a Dr. Volkan IŞIK,a Dr. Refika BULUTOĞLU,a
Dr. Serdar GÖKREM,a Dr. Gürcan ASLANa
a2. Plastik, Rekonstrüktif ve Estetek Cerrahi Kliniği, Ankara Eğitim ve Araştırma Hastanesi, ANKARA
Subatmospheric pressure dressing (SPWD) is a new wound dressing that has been used latterly. SPWD is the controlled application of subatmospheric pressure to a wound using an electrical pump to intermittently or continuously convey subatmospheric pressure through connecting tubing to a specialized wound dressing. Recent studies with this wound dressing, the use of which was initially recomended for chronic wounds, has shown that it can effectively be used for acute wounds, skin grafted areas and donor site care, degloving injuries and burns. SPWD is a topical treatment used to promote healing in acute and chronic wounds by applying subatmospheric pressure to the wound bed. Four board mechanisms of action are proposed: increase of local blood supply, mechanical deformation, removal of harmful enzymes from the wound bed, decrease intertisiel edema. The combination of these mechanisms makes the SPWD treatment an extremely versatile tool in the armamentarium of wound healing. SPWD is generally well tolerated and, with few complications. Numerous case studies and articles have documented this treatment effectiveness. But, recent experimental studies, evaluations and personal experience raise many questions about the currently treatment protocol of SPWD: Is intermittent subatmospheric pressure therapy equivalent to continuos subatmospheric pressure wound therapy, how is optimal pressure level for wound healing?
In this article, the past and present of subatmospheric pressure wound care is revised by considering articles within the accessible literature. Furthermore, insufficient and inquisitional aspects of this method is also emphasized.Keywords: Wound healing; occlusive dressings; varicose ulcer; diabetic foot; surgical wound dehiscenceTurkiye Klinikleri J Med Sci 2007, 27:902-915
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