Examinando por Materia "Debridement"

Mostrando 1 - 2 de 2

Acceso abierto
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.
Acceso abierto
Efficacy of autolytic debridement versus enzymatic debridement in the treatment of necrotic wounds.
(Universidad Privada Norbert Wiener, 2018-01-27) Montalbán Montalván, Carol Lisbeth; Román Sisniegas, Fabiola Luz; Avila Vargas Machuca, Jeannette Giselle
Objective: To analyze and systematize the efficacy of autolytic debridement versus enzymatic debridement in the treatment of necrotic wounds. Materials and Methods: A systematic review was conducted, and the GRADE system was used to assess the evidence. Of the studies, 40% considered autolytic debridement more effective for addressing necrotic wounds. Results: 40% concluded that autolytic debridement is more effective for managing non-infected necrotic wounds and burns; 30% found enzymatic debridement effective for treating chronic wounds, diabetic foot, venous and arterial ulcers; and another 30% found no significant difference between the methods, as both were deemed effective. Conclusions: Autolytic debridement is more effective for managing leg ulcers and burns, reducing necrotic tissue by 20% compared to enzymatic debridement, which achieves a 10% reduction. Autolytic debridement is more effective when using hydrogel, as it reduces exudate and necrotic tissue. Enzymatic debridement with collagenase and 2% papain gel reduces eschar and promotes granulation tissue, decreasing pain, the number of debridement sessions, and dressing changes.