ksmaКубанский научный медицинский вестникKuban Scientific Medical Bulletin1608-62282541-9544Kuban State Medical University10.25207/1608-6228-2021-28-6-117-132ksma-2603Research ArticleОБЗОРЫREVIEWВакуумная терапия в лечении ран различной этиологии: систематический обзорVacuum-assisted healing of various-aetiology wounds: A systematic reviewФедюшкинВ. В.FedyushkinV. V.

Федюшкин Владимир Владимирович — врач-хирург Динской центральной районной больницы; аспирант кафедры хирургии № 1 ФПК и ППС Кубанского государственного медицинского университета 

ул. Черкасская, 43, кв. 205, г. Краснодар, 350901

Vladimir V. Fedyushkin — Surgeon, Dinskaya Central District Hospital; Postgraduate Student, Chair of Surgery No. 1, Faculty of Advanced Vocational Training and Retraining, Kuban State Medical University

Cherkasskaya str., 43, apt. 205, Krasnodar, 350901

vladimirkkb1@gmail.comБарышевА. Г.BarishevA. G.

Барышев Александр Геннадьевич — доктор медицинских наук, доцент; заместитель главного врача по хирургии ГБУЗ «Научно-исследовательский институт — Краевая клиническая больница № 1 имени профессора С. В. Очаповского»; заведующий кафедрой хирургии № 1 ФПК и ППС Кубанского государственного медицинского университета

Aleksandr G. Barishev — Dr. Sci. (Med.), Assoc. Prof., Deputy Chief Physician for Surgery, Territorial Clinical Hospital No. 1 Research Institute named after Prof. S.V. Ochapovsky; Head of Chair of Surgery No. 1, Faculty of Advanced Vocational Training and Retraining, Kuban State Medical University

Pervogo Maya str., 167, Krasnodar, 350086

 

a.g.baryshev@mail.ruГосударственное бюджетное учреждение здравоохранения «Динская центральная районная больница» Министерства здравоохранения Краснодарского края; Федеральное государственное бюджетное образовательное учреждение высшего образования «Кубанский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияDinskaya Central District Hospital; Kuban State Medical UniversityRussian FederationГосударственное бюджетное учреждение здравоохранения «Научно-исследовательский институт - краевая клиническая больница № 1 имени профессора С.В. Очаповского» Министерства здравоохранения Краснодарского края; Федеральное государственное бюджетное образовательное учреждение высшего образования «Кубанский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияTerritorial Clinical Hospital No. 1 Research Institute named after Prof. S.V. Ochapovsky; Kuban State Medical UniversityRussian Federation202106122021286117132Copyright © Федюшкин В.В., Барышев А.Г., 20212021Федюшкин В.В., Барышев А.Г.Fedyushkin V.V., Barishev A.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://ksma.elpub.ru/jour/article/view/2603Введение

Введение. В настоящее время наблюдается прогрессивный рост частоты техногенных катастроф и аварий, приводящих к травматизму населения. Травмы и многие другие повреждения, в том числе и гнойно-некротические заболевания, нередко приводят к образованию обширных раневых дефектов, для закрытия которых с целью восстановления целостности кожных покровов требуются дополнительные хирургические вмешательства.

Цель обзора — сравнение данных исследований врачей различных направлений хирургии и травматологии относительно опыта использования метода вакуумной терапии в лечении ран различной локализации и этиологии.

Методы

Методы. В обзор включены данные релевантных статей, описывающих опыт использования метода вакуумной терапии в лечении ран различной локализации и этиологии, опубликованных за период 2014–2020 гг. и представленных в базах данных PubMed, ScienceDirect, eLibrary. Были использованы следующие методы исследования: интернет-анализ, контент-анализ, исторический, описательно-аналитический.

Результаты

Результаты. В настоящее время лечение пациентов с ранами различной этиологии и локализации с помощью метода вакуумной терапии является стандартом и действует в комплексе с адекватными хирургическими обработками, антибактериальной терапией и ранними реабилитационными мероприятиями.

Заключение

Заключение. Учитывая многочисленные литературные источники, публикации коллег, руководства по вакуумной терапии (VAC®-therapy Guidelines), можно сделать вывод о перспективности и эффективности использования вакуумной терапии в комплексном лечении ран различной этиологии. Однако требуется дальнейшее изучение механизмов действия данного метода, а также расширение показаний для его применения.

Background

Background. The ever-growing rate of man-made accidents and disasters entails high traumatism. Traumas and other injuries, including purulent necrotic lesions, often lead to extensive wound defects requiring special surgeries for closure and to restore skin integrity.

Objectives

Objectives. A comparative inter-specialty review in trauma surgery on the vacuum therapy application in healing wounds of different locality and aetiology.

Methods

Methods. The review includes relevant cases of use experience in vacuum-assisted healing of various locality and aetiology wounds, indexed in the PubMed, ScienceDirect and eLibrary databases for years 2014–2020. The following research techniques were employed: online, content, historical and descriptive analyses with a focus on specific issues in aetiology, pathogenesis and vacuum-assisted healing of various-locality wounds.

Results

Results. Vacuum-assisted healing of various locality and aetiology wounds is a current standard acting in complex with adequate surgical treatment, antibiotic therapy and early rehabilitation measures.

Conclusion

Conclusion. Manifold literature sources, colleagues’ publications and guidelines for vacuum-assisted closure (VAC®-therapy Guidelines) substantiate the effect and promise of the vacuum-based approach in complex treatment of various-aetiology wounds. Further studies into the mechanisms of action and the elaboration of indications list are warranted for this method.

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The authors declare that there are no conflicts of interest present.