ririРаны и раневые инфекции. Журнал имени проф. Б.М. КостючёнкаWounds and wound infections. The prof. B.M. Kostyuchenok journal2408-96132500-0594Regional non-governmental organization “Surgical society - Wounds and wound infections”10.25199/2408-9613-2020-7-2-10-21riri-224Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL RESEARCHКак выбрать вариант NPWT на практике (губки или повязки, показания к их использованию в зависимости от цели лечения, выбор аппарата)How to choose the NPWT option in practice (sponges or dressings, indications for their use depending on the purpose of treatment, device selection)ТеоЛ.TeotL.

Люк Тео

34295, Монпелье, ул. du Doyen Gaston Giraud, д. 191

191 avenue du Doyen Gaston Giraud Str., Montpellier, 34295

teot@icloud.comОтделение пластической хирургии, ожогов и ран университетской клиники МонпельеФранцияDepartment of Plastic Surgery, Burns and Wounds, University Hospital MontpellierFrance202027012021721021Copyright © Тео Л., 20212021Тео Л.Teot L.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.riri.su/jour/article/view/224

Терапия отрицательным давлением (NPWT – negative pressure wound therapy) является частью протокола лечения сложных ран при их замедленном заживлении. На сегодняшний день необходимо понимать механизмы действия различных аппаратов для NPWT, которые представлены на рынке. Рекомендации, применимые к конкретным клиническим ситуациям, приведены с учетом разницы между стационарными методами, требующими обездвиживания пациента из-за необходимости постоянного подключения к устройству, создающему отрицательное давление, и более простыми, амбулаторными методами, которые позволяют проводить эффективную NPWT, обеспечивая при этом лучшее качество жизни. Недавнее появление на рынке аппаратов, с помощью которых можно осуществлять ирригационно-инстилляционную терапию, дополнило метод, открыв возможность закапывать в рану жидкости, разные по своему составу и эффекту. Губки последнего поколения в совокупности с NPWT позволяют еще и очищать поверхность раны (ранее они использовались только для стимуляции роста грануляционной ткани).

NPT is part of the daily management of complex wounds with delayed healing. It is essential in 2018 to understand the mechanisms of action of the various machines available on the wound market in France. In order to put the right indication for a defined clinical problem to know the difference between fixed and heavy techniques, imposing immobilization of the patient due to the need for a permanent connection and the simpler, ambulatory techniques that combine effective negative pressure while allowing a better quality of life. The recent contribution of the instillation has completed the offer by opening the possibility of instilling in the wound variable liquids in their composition and their effect. The recent introduction of a new foam also suggests the possibility of cleaning the wound with a tool hitherto reserved for the promotion of granulation tissue.

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