Examinando por Materia "Wound"

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    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.