Effectiveness of the application of negative pressure in wounds of surgical patients. Bibliographic review.

Identifier:  TFG:1755

Handle: https://hdl.handle.net/20.500.11797/TFG1755

Authors:  Bernabeu Durà, Maria

Abstract:
Introduction: The surgical wound tends to be complex, and its cures can develop later complications. Negative therapeutic pressure is a technique that is increasing its use and improving day by day. There are different systems that create a negative pressure on surgical wounds, which have some benefits when compared to traditional healing techniques. Objectives: The main purpose of this review is to analyse the application of negative pressure in wounds of surgical origin, it is a choice method for the closure of these. Methodology / Results: The review was carried out searching in different databases, being finally chosen 24 articles from two databases: Cinhal and PubMed. There were selected those articles that compared cure techniques with the negative therapeutic pressure or analysed the use of different types of negative therapeutic pressure. Discussion / Conclusions: After the analysis of all selected articles, these could be grouped into three categories depending on the focus of the article and the data they provide. In the first article, called negative pressure versus other cure methods, it was concluded that negative pressure obtains better results than traditional cure methods, such as dry cure, being more effective in those patients operated on the abdomen. Secondly, we found a group "negative pressure and the appearance of complications", from which it was obtained that the application of negative therapeutic pressure significantly reduces the appearance of infections of the surgical wound, as well as the possibility of wound dehiscence and, in addition, the healing time is less than in traditional techniques. Finally, the third group analyses the negative therapeutic pressure in conjunction with others cure methods, in which it is observed that the use of negative therapeutic pressure with fascial approach methods or continuous instillation of physiological saline improves the treatment decreasing rates of complications in relation to the use of the single negative pressure.