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Revista do Colégio Brasileiro de Cirurgiões

Print version ISSN 0100-6991

Abstract

MILCHESKI, Dimas André et al. Subatmospheric pressure therapy in the treatment of traumatic soft tissue injuries. Rev. Col. Bras. Cir. [online]. 2013, vol.40, n.5, pp.392-397. ISSN 0100-6991.  https://doi.org/10.1590/S0100-69912013000500008.

OBJECTIVE: To evaluate the use of subatmospheric pressure therapy in the treatment of acute traumatic injuries of the soft tissues, especially in the limbs. METHODS: One hundred and seventy-eight patients with traumatic wounds were treated by the Center for Complex Wounds in the period from January 2010 to December 2011, and submitted to subatmospheric pressure therapy (SPT). RESULTS: Of the 178 patients who underwent SPT, 129 (72.5%) were male and 49 (27.5%) were aged between 18 and 40 years. Degloving injuries to the limbs were the most common type of traumatic wounds, being responsible for the hospitalization of 83 (46.6%) patients. Mean hospital stay was 17.5 days. A total of 509 procedures were performed (average 2.9 per patient). SPT was used in 287procedures, 209 (72.8%) on traumatic wounds and 78 (27.2%) of skin grafts. The number of exchanges of the SPT apparel per patient was 1.6 and the mean time of use, 8.5 days. CONCLUSION: SPT significantly reduced morbidity and healing time of injuries when compared with previously performed dressing treatments. The subatmospheric pressure therapy is a useful method in treating acute traumatic wounds, acting as a bridge between the emergency treatment and the final coverage of the skin lesions, being better when compared with more traditional methods of plastic surgery.

Keywords : Therapy; Plastic surgery; Occlusive dressings; Wound closure techniques; Treatment of wounds with negative pressure.

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