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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Bekara, Farid (Department of Plastic and Reconstructive Surgery, Wound Healing and Burns Units, Lapeyronie University Hospital) Vitse, Julian (Department of Plastic and Reconstructive Surgery, Wound Healing and Burns Units, Lapeyronie University Hospital) Fluieraru, Sergiu (Department of Plastic and Reconstructive Surgery, Wound Healing and Burns Units, Lapeyronie University Hospital) Masson, Raphael (Department of Plastic and Reconstructive Surgery, Wound Healing and Burns Units, Lapeyronie University Hospital) De Runz, Antoine (Department of Maxillofacial, Plastic, Reconstructive and Cosmetic Surgery, Nancy University Hospital) Georgescu, Vera (Department of Biostatistics and Medical Information, Lapeyronie University Hospital) Bressy, Guillaume (Department of Orthopedics and Traumatology, Gaston Bourret Territorial Hospital) Labbe, Jean Louis (Department of Orthopedics and Traumatology, Gaston Bourret Territorial Hospital) Chaput, Benoit (Department of Plastic and Reconstructive Surgery, Rangueil University Hospital) Herlin, Christian (Department of Plastic and Reconstructive Surgery, Wound Healing and Burns Units, Lapeyronie University Hospita)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제45권 제2호
발행연도
2018.1
수록면
102 - 110 (9page)

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Debridement is a crucial component of wound management. Recent technologies such as hydrosurgery (Versajet), ultrasound therapy (the MIST therapy device), or plasma-mediated bipolar radio-frequency ablation therapy (Coblation) seem to represent interesting alternatives for wound debridement. The purpose of this systematic review was to describe, evaluate, and compare these three recently developed methods for the management of chronic wounds. In January 2016, an electronic database search was conducted of MEDLINE, PubMed Central, and Embase for articles concerning these three innovative methods for the management of chronic wounds. A total of 389 references were identified by our search strategy, and 15 articles were included. We extracted data regarding the number and age of patients, indications, operating time, number of procedures, costs, wound healing time, decrease in exudation, perioperative blood loss, bacterial load, and the occurrence of complications. The 15 articles included studies that involved 563 patients who underwent hydrosurgery (7 studies), ultrasound therapy (6 studies), or Coblation (2 studies). Six randomized controlled trials were included that compared the use of a scalpel or curette to hydrosurgery (2 studies) or ultrasound therapy (6 studies). Hydrosurgery, in addition to being a very precise and selective tool, allows significantly faster debridement. Ultrasound therapy provides a significant reduction of exudation, and improves the wound healing time. No comparative study dedicated to Coblation was identified. Despite the obvious clinical interest of the topic, our review of the current literature revealed a lack of prospective randomized studies comparing these devices with each other or with standard techniques, particularly for Coblation and hydrosurgery.
#Review #Debridement #Wound healing #Bacterial load #Hemorrhage

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참고문헌 (37)

참고문헌 신청
Cuschieri L / 2013 / Autolytic debridement of a large, necrotic, fully occluded foot ulcer using a hydrocolloid dressing in a diabetic patient / Adv Skin Wound Care 26:300~304 Crossref Smith RG / 2008 / Enzymatic debriding agents: an evaluation of the medical literature / Ostomy Wound Manage 54:16~34 google schola Shi E / 2014 / Maggot debridement therapy: a systematic review / Br J Community Nurs 19(Suppl 12):S6~S13 google schola Teot L / 2011 / Debridement, a strategic choice / Soins (752):30~33 google schola Klein MB / 2005 / The Versajet water dissector: a new tool for tangential excision / J Burn Care Rehabil 26:483~487 Crossref

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