milmedВоенная медицинаMilitary Medicine2074-5044Белорусский государственный медицинский университет10.51922/2074-5044.2024.4.82milmed-172Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESПрименение терапии ран отрицательным давлением в травматологии и ортопедии. Часть 1. Обоснование методики, технические особенности, общие рекомендации по применениюTHE USE OF NEGATIVE PRESSURE WOUND THERAPY IN TRAUMATOLOGY AND ORTHOPEDICS. PART 1. JUSTIFICATION OF THE METHODOLOGY, TECHNICAL FEATURES, GENERAL RECOMMENDATIONS FOR USEКрукА. Н.KrukA. M.

Минск

СитникА. А.SitnikA. A.

Минск

ЛиновА. Л.LinovA. L.

Минск

БакановскийА. В.BakanouskiA. V.

Минск

КочубинскийА. В.KochubinskiA. V.

Минск

КорзунО. А.KorzunO. A.

Минск

ВолотовскийП. А.VolotovskiP. A.

Минск

ГУ «Республиканский научно-практический центр травматологии и ортопедии»Belarus202423082026048288Copyright © Крук А.Н., Ситник А.А., Линов А.Л., Бакановский А.В., Кочубинский А.В., Корзун О.А., Волотовский П.А., 20262026Крук А.Н., Ситник А.А., Линов А.Л., Бакановский А.В., Кочубинский А.В., Корзун О.А., Волотовский П.А.Kruk A.M., Sitnik A.A., Linov A.L., Bakanouski A.V., Kochubinski A.V., Korzun O.A., Volotovski P.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://milmed.ejournal.by/jour/article/view/172

Цель исследования – анализ литературных данных о применении терапии ран отрицательным давлением в клинической практике, в частности в травматологии и ортопедии, изучение современных тенденций развития данного метода лечения, а также анализ эффективности методик, уже внедренных в клиническую практику. Первые упоминания о применении локального отрицательного давления в медицине появились более четырехсот лет назад. В последствии многие ученые проводили эксперименты по применению систем терапии отрицательным давлением для лечения инфекций мягких тканей и ран. Терапия отрицательным давлением применяется в различных отраслях медицины. Немаловажную роль этот метод занимает и в травматологии и ортопедии, помогая достигать решения поставленных задач. Метод применения терапии ран отрицательным давлением имеет ряд неоспоримых положительных эффектов, однако также существует ряд возможных нежелательных осложнений в связи с применением данного метода лечения. Принципиальная концепция строения системы для терапии ран отрицательным давлением была выработана уже более двадцати лет назад, однако и по сей день происходит совершенствование и поиск новых и улучшенных компонентов системы, а также пути улучшения классической схемы с целью увеличения эффективности лечения данным методом. В клинической практике используются как готовые для использования наборы, так и некоммерческие устройства и компоненты, смоделированные для конкретного клинического случая. За долгие годы применения терапии отрицательным давлением авторы выработали обобщенную методику ведения пациентов, в лечении которых используется данная методика.

The purpose of the study is to analyze the literature data on the use of negative pressure wound therapy in clinical practice, in particular in traumatology and orthopedics, to explore current trends in the development of this method, as well as to analyze the effectiveness of techniques already introduced into clinical practice. The first mentions of the use of local negative pressure in medicine appeared more than four hundred years ago. Subsequently, many scientists experimented with the use of negative pressure therapy systems to treat soft tissue infections and wounds. Negative pressure wound therapy is used in various branches of medicine. This method plays an important role in traumatology and orthopedics, helping to achieve the solution of assigned problems. Negative pressure wound therapy has a number of undeniable positive effects, but there are also a number of possible complications in connection with the use of this method of treatment. The fundamental concept of the system for negative pressure therapy was developed more than twenty years ago, however, to this day there is an improvement and search for new and improved components of the system, as well as ways to improve the classical scheme in order to increase the effectiveness of treatment with this method. In clinical practice, both ready-to-use kits and non-commercial devices modeled for a specific clinical case are used. Over many years of using negative pressure therapy, the authors have developed a generalized methodology for managing patients treated by negative pressure wound therapy kit.

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