Examinando por Autor "Roman Sisniegas, Fabiola Luz"

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    Effectiveness of autolytic debridement versus enzymatic debridement in the treatment of necrotic wounds
    (Universidad Privada Norbert Wiener, 2017-01-27) Montalban Montalvan, Carol Lisbeth; Roman Sisniegas, Fabiola Luz; Avila Vargas Machuca, Jeannette Giselle
    Objective: To analyze and systematize the effectiveness of autolytic debridement compared to enzymatic debridement in the treatment of necrotic wounds. Materials and Methods: A systematic review was conducted using the GRADE system. Of the total studies, 40% consider autolytic debridement to be more effective for addressing necrotic wounds. Results: 40% conclude that autolytic debridement is more effective in managing non-infected necrotic wounds and burns; 30% believe that enzymatic debridement is effective in treating chronic wounds, diabetic foot, venous and arterial ulcers, while another 30% report that there is no significant difference between the two methods, as both are effective. Conclusions: Autolytic debridement is more effective in managing leg ulcers and burns, reducing necrotic tissue by 20% compared to enzymatic debridement, which achieves 10%. The time for autolytic debridement is more effective with the use of hydrogel, which also reduces exudate and devitalized tissue. In enzymatic debridement, the use of collagenase and 2% papain gel reduces necrotic tissue while increasing granulation tissue. It also reduces pain, the number of debridement sessions, and dressing changes.