Miért az első választás számos sebészeti kórkép kezelésében a negatívnyomás-terápia az általános sebészeti gyakorlatban? Irodalmi áttekintés

Szentkereszty, Zsolt and Kolozsi, Péter and Zádori, Gergely and Susán, Zsolt and Ötvös, Csaba and Enyedi, Attila and Tóth, Dezső (2023) Miért az első választás számos sebészeti kórkép kezelésében a negatívnyomás-terápia az általános sebészeti gyakorlatban? Irodalmi áttekintés. LEGE ARTIS MEDICINAE, 33 (2). pp. 35-40. ISSN 0866-4811 (nyomtatott); 2063-4161 (elektronikus)

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Abstract

Negative pressure wound therapy (NPWT) is a widely used technique, mostly for the treatment of complicated wounds, soft tissue infections, septic abdominal complications, abdominal compartment syndrome, oesophageal and colorectal anastomosis leakage. Unfortunately, in clinical practice, it is often used only as “ultimum refugium”. The quality of life of patients with NPWT is better than during conventional treatment and is well-tolerated. On the basis of its good effects NPWT shortens therapeutic time, the early and late results are pro­mising and it is more cost-effective. The authors emphasize that vacuum therapy with well-defined indications should be started as soon as possible. After analysing the quality of life during NPWT, length of healing period, cost-effectiveness, success rate and evidence, it is highlighted that NPWT could be the first-choice therapy in many cases.

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