Secondary wound closure with a new transparent negative-pressure dressing.

Chirurgie (Heidelberg, Germany) Pub Date : 2024-12-01 Epub Date: 2023-05-22 DOI:10.1007/s00104-023-01864-3
Gunnar Loske
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Abstract

Secondary healing surgical wounds can be treated with negative-pressure therapy. Dressing changes can be painful due to the strong adherence of the polyurethane foam placed in the wound. After debridement and conditioning of the wound bed, secondary surgical wound closure with a surgical suture can be performed. Cutaneous negative-pressure therapy is used preventively after primary surgical suturing. Descriptions for secondary wound closure without a surgical suture are not known to date. The preparation and handling of an innovative transparent dressing for the cutaneous application of negative-pressure therapy is demonstrated here. The dressing assembly consists of a transparent drainage film and a transparent occlusion film. Negative pressure is applied via a tubing connector using a negative pressure pump. A new method of secondary wound closure using the transparent negative-pressure dressing is presented based on a case example. The treatment cycle with instructions for making the dressing is shown in a video.

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采用新型透明负压敷料进行二次伤口闭合。
二次愈合的外科伤口可以用负压治疗。由于放置在伤口上的聚氨酯泡沫的强力粘附,换药可能会很痛苦。在清创和伤口床调理后,可以进行外科缝合的二次手术伤口闭合。皮肤负压治疗在初次手术缝合后预防性使用。没有手术缝线的继发性伤口闭合的描述尚不清楚。制备和处理一种创新的透明敷料的皮肤应用负压治疗是演示在这里。敷料组件包括透明引流膜和透明闭塞膜。负压通过使用负压泵的油管连接器施加。通过一个实例,提出了一种利用透明负压敷料进行二次创面闭合的新方法。视频中展示了治疗周期和制作敷料的说明。
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