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Journals / Haseki Tıp Bülteni / 2018 / Cilt: 56 - Sayı: 4

The Use of Negative Pressure Therapy for the Treatment of the Defects on Extremities due to High-Energy Trauma

Yüksek Enerjili Travma Nedeni ile Oluşmuş Ekstremite Defektlerinin Tedavisinde Negatif Basınçlı Terapi Kullanılması

Erkan ORHAN
Bülent ERDOĞAN
Pages
269–274
Publication Date
2022-10-17
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

None of the patients required free flaps.Conclusion: Extremity defects occurring due to high energy traumacan be closed by simple surgical techniques using NPT, patients canbe protected from the complications of free tissue transfer, and alsotreatment is possible at much lower costs

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: Defects of the extremities due to high-energy trauma are commonand it is necessary to repair these defects.
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Key Findings & Data:In this study, we present our results of the reconstruction ofextremity defects caused by high-energy trauma with a simple surgicalprocedure using NPT.Methods: Patients with soft tissue defects of the upper and lowerextremities caused by high energy trauma, who were treated with NPTbetween November 2009 and June 2015, were included in the study.Results: NPT was performed in 63 patients.
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Conclusion & Impact:None of the patients required free flaps.Conclusion: Extremity defects occurring due to high energy traumacan be closed by simple surgical techniques using NPT, patients canbe protected from the complications of free tissue transfer, and alsotreatment is possible at much lower costs
🔬Design:Research Article
📍Scope:2009 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: Defects of the extremities due to high-energy trauma are commonand it is necessary to repair these defects. Reconstruction is possiblewith simple surgeries using skin grafts and negative pressure therapy(NPT). In this study, we present our results of the reconstruction ofextremity defects caused by high-energy trauma with a simple surgicalprocedure using NPT.Methods: Patients with soft tissue defects of the upper and lowerextremities caused by high energy trauma, who were treated with NPTbetween November 2009 and June 2015, were included in the study.Results: NPT was performed in 63 patients. The average defect sizewas 60 cm2. The patients underwent an average of nine sessions.The average length of hospital stay was 26 days. The defects werereconstructed using skin grafts and local flaps in 58 and two patients,respectively. None of the patients required free flaps.Conclusion: Extremity defects occurring due to high energy traumacan be closed by simple surgical techniques using NPT, patients canbe protected from the complications of free tissue transfer, and alsotreatment is possible at much lower costs

Özet

Amaç: Ekstremitelerde yüksek enerjili travmalar sonucu defekt oluşması sık görülmektedir ve bu defektlerin onarılması zorunludur. Negatif basınçlı terapi (NBT) kullanılarak bu defektlerin deri greftleri gibi daha basit cerrahi işlemler ile rekonstrüksiyonu mümkün olabilmektedir. Bu çalışmada yüksek enerjili travma sonrası ekstremitelerinde oluşmuş defektlerin NBT kullanılarak basit cerrahi işlemlerle kapatılması konusundaki sonuçlarımızı sunmaktayız. Yöntemler: Kasım 2009-Haziran 2015 yılları arasında üst ve alt ekstremitelerinde yüksek enerjili travma sonucu yumuşak doku defekti oluşan ve tedavisinde NBT kullanılan hastalar çalışmaya alındı. Bulgular: Altmış üç hastada NBT uygulandı. Hastalardaki yara alanı ortalaması 60 cm2 olarak hesaplandı. Hastalara ortalama dokuz seans NBT uygulandı ve ortalama 26 gün yatarak tedavi edildiler. Elli sekiz hastanın yarası deri grefti ile iki hastanın yarası lokal flepler ile onarıldı. Hiçbir hastada serbest flebe gerek olmadı. Sonuç: NBT ile yüksek enerjili travma sonucu ekstremitelerde oluşan yaralar basit cerrahi teknikler ile kapatılabilmekte, hastalar serbest doku transferinin komplikasyonlarından korunabilmekte, hem de çok daha az maliyetle tedavi sağlanabilmektedir

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Cite This Article

ORHAN, E., ERDOĞAN, B. (2022). The Use of Negative Pressure Therapy for the Treatment of the Defects on Extremities due to High-Energy Trauma. Haseki Tıp Bülteni, Cilt: 56 - Sayı: 4, 269–274. https://ajindex.com/articles/535101

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