Vakuumversiegelungstherapie im Kopf-Hals-Bereich [Vacuum-assisted closure of head and neck wounds].

Détails

ID Serval
serval:BIB_F1D3EDB4A116
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Vakuumversiegelungstherapie im Kopf-Hals-Bereich [Vacuum-assisted closure of head and neck wounds].
Périodique
HNO
Auteur(s)
Palm H.G., Hauer T., Simon C., Willy C.
ISSN
1433-0458 (Electronic)
ISSN-L
0017-6192
Statut éditorial
Publié
Date de publication
2011
Volume
59
Numéro
8
Pages
819-830
Langue
allemand
Notes
Publication types: English Abstract ; Journal Article ; ReviewPublication Status: ppublish
Résumé
OBJECTIVE: Since the early 1990s, vacuum-assisted closure (VAC) therapy has been used to treat acute and chronic wounds in almost all disciplines of surgery in Germany. Taking this into consideration, the use of vacuum therapy in the area of head and neck surgery was examined.
METHODS: A literature review using MEDLINE (with PubMed) and EMBASE as well as a Cochrane search was performed on 15 December 2010. Search terms included "vacuum therapy", "vacuum-assisted closure", "V.A.C.", "VAC", "(topical) negative pressure (wound therapy)".
RESULTS: There were 1,502 peer-reviewed articles about "vacuum therapy" concerning all medical fields in literature. There were a total of 37 publications from the discipline of head and neck surgery (538 patients). Although benefits for the patients are consistently reported, these results are usually presented only in case reports or case series (evidence level IV and V). Positive results are mainly observed for the treatment of lifting defects in reconstructive surgery and for the treatment of acute and chronic soft tissue defects of the neck. Only little experience exists in the vacuum therapy of war wounds in the head and neck region.
CONCLUSION: Due to its advantages (i.e., hygienic temporary wound care with support of the continuous decontamination, wound drainage, promotion of granulation tissue formation, and effective wound conditioning), VAC is an integral and indispensable part of modern wound treatment. Analogous to this general experience, a benefit must also be assumed for head and neck wounds. High-quality and reliable studies on the use of VAC must be performed to verify this observation and the future reimbursement of in- and outpatient wound VAC treatment.
Mots-clé
Blast Injuries/economics, Blast Injuries/therapy, Cost-Benefit Analysis, Craniocerebral Trauma/economics, Craniocerebral Trauma/therapy, Debridement/economics, Debridement/methods, Diagnosis-Related Groups/economics, Germany, Humans, Military Medicine/economics, National Health Programs/economics, Neck Injuries/economics, Neck Injuries/therapy, Negative-Pressure Wound Therapy/economics, Negative-Pressure Wound Therapy/methods, Reconstructive Surgical Procedures/economics, Reconstructive Surgical Procedures/methods, Soft Tissue Injuries/therapy, Wound Healing/physiology, Wounds, Penetrating/economics, Wounds, Penetrating/therapy
Pubmed
Web of science
Création de la notice
04/06/2013 10:21
Dernière modification de la notice
03/03/2018 22:39
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