2595:一种用于负压伤口治疗的新型生物可吸收/生物可整合/生物相容性敷料

Kevin Wu, R. Cindass, S. Lawson, V. Gorantla, M. Davis
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Davis RESTOR Program, 59 Medical Wing, JBSA Lackland AFB, TX, USA Aims Negative pressure wound therapy (NPWT) aims to improve healing by secondary intention of acute and/ or chronic wounds by dynamic vacuum assisted removal of wound exudate, promoting granulation The standard of care in NPWT uses a polyurethane sponge dressing (PUSD) applied to the wound as a filler to help facilitate vacuum suction The PUSD is non-biodegradable and needs removal every 2–3 days, causing repetitive trauma during wound healing We developed 2 novel bioresorbable/biointegratable/biocompatible sponge-dressing scaffolds (3B-SDS) and evaluated their feasibility and efficacy in optimizing wound healing and limiting need for dressing changes in a pre-clinical porcine NPWT wound model. 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引用次数: 0

摘要

2595:用于负压伤口治疗的新型生物可吸收/生物可整合/生物相容性敷料Kevin Wu, R. Cindass, S. D. Lawson, V. S. Gorantla和M. R. Davis RESTOR项目,JBSA Lackland AFB, texas, USA目的负压伤口治疗(NPWT)旨在通过动态真空辅助去除伤口渗出液,通过二次意图改善急性和/或慢性伤口的愈合。NPWT的标准护理使用聚氨酯海绵敷料(PUSD)涂抹在伤口上作为填充物,以帮助真空吸引。PUSD是不可生物降解的,需要每2-3天去除一次。我们开发了2种新型的生物可吸收/生物可整合/生物相容性海绵-敷料支架(3B-SDS),并在临床前猪NPWT伤口模型中评估了它们在优化伤口愈合和限制敷料更换方面的可行性和有效性。方法6头猪共创面10个全厚创面,随机选择4个创面作为对照,分别进行湿转干(WTD)换药(2个创面)和PUSD NPWT(2个创面)治疗,其余6个创面均采用新型3b - sds治疗,每3 d评估一次创面,直至创面可移植区形成或项目结束2个月。组织学是次要结果指标。这是一项正在进行的研究,终点结果将在会议上公布。我们预计,与WTD或PUSD NPWT相比,3BSDSs将更快地到达皮肤可移植区域,而无需反复更换敷料。与PUSD NWPT和WTD敷料相比,使用3b - sds在创建皮肤可移植区域的时间方面预计具有优势。联系吴凯文kwu72md@gmail.com©2016吴凯文,R. Cindass, S. D. Lawson, V. S. Gorantla和M. R. Davis。由Taylor & Francis授权出版。这是一篇在知识共享署名-非商业许可(http://creativecommons.org/licenses/by-nc/3.0/)条款下发布的开放获取文章,该许可允许在任何媒体上不受限制的非商业使用、分发和复制,前提是正确引用原始作品。指定作者的精神权利得到了维护。血管化复合异体移植,2016,VOL. 3, no . 1-2, 52 http://dx.doi.org/10.1080/23723505.2016.1234259
本文章由计算机程序翻译,如有差异,请以英文原文为准。
2595: A novel bioresorbable/biointegratable/biocompatible dressing for negative pressure wound therapy
2595: A novel bioresorbable/biointegratable/biocompatible dressing for negative pressure wound therapy Kevin Wu, R. Cindass, S. D. Lawson, V. S. Gorantla, and M. R. Davis RESTOR Program, 59 Medical Wing, JBSA Lackland AFB, TX, USA Aims Negative pressure wound therapy (NPWT) aims to improve healing by secondary intention of acute and/ or chronic wounds by dynamic vacuum assisted removal of wound exudate, promoting granulation The standard of care in NPWT uses a polyurethane sponge dressing (PUSD) applied to the wound as a filler to help facilitate vacuum suction The PUSD is non-biodegradable and needs removal every 2–3 days, causing repetitive trauma during wound healing We developed 2 novel bioresorbable/biointegratable/biocompatible sponge-dressing scaffolds (3B-SDS) and evaluated their feasibility and efficacy in optimizing wound healing and limiting need for dressing changes in a pre-clinical porcine NPWT wound model. Methods Ten full thickness wounds were created on 6 swine Four randomly chosen wounds served as controls undergoing wet-to-dry (WTD) dressing changes (2 wounds) and PUSD NPWT (2 wounds) The remaining 6 wounds underwent treatment with the novel 3B-SDSs All wounds were assessed every 3 d until creation of a skin graftable area or until the project end date of 2 months The primary outcome measure was time to skin graftable area Wound planimetry, colorimetry, tensiometry, and histology were secondary outcome metrics. Results This is an ongoing study and end point results will be presented at the meeting We anticipate that the 3BSDSs will achieve faster time to a skin graftable area without the need for repeated dressing changes compared to WTD dressing or the PUSD NPWT. Conclusions The use of 3B-SDSs is anticipated to be superior in terms of time to creation of a skin graftable area compared to PUSD NWPT and WTD dressings. CONTACT Kevin Wu kwu72md@gmail.com © 2016 Kevin Wu, R. Cindass, S. D. Lawson, V. S. Gorantla, and M. R. Davis. Published with license by Taylor & Francis. This is an Open Access article distributed under the terms of the Creative Commons Attribution-Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. The moral rights of the named author(s) have been asserted. VASCULARIZED COMPOSITE ALLOTRANSPLANTATION 2016, VOL. 3, NOS. 1–2, 52 http://dx.doi.org/10.1080/23723505.2016.1234259
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