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CC BY 4.0 · Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39(04): s00451801875
DOI: 10.1055/s-0045-1801875
Artigo de Revisão

Is It Feasible to Use Negative-pressure Wound Therapy to Treat Complex Wounds within the Brazilian Unified Health System?

Article in several languages: português | English
Felipe Andrade Lopes 
1   Faculdade de Medicina de Jundiaí, Hospital São Vicente de Paulo, Jundiaí, SP, Brasil
,
Mariana Fernandes Inácio 
1   Faculdade de Medicina de Jundiaí, Hospital São Vicente de Paulo, Jundiaí, SP, Brasil
,
Giovanna Cavalcanti Banov 
1   Faculdade de Medicina de Jundiaí, Hospital São Vicente de Paulo, Jundiaí, SP, Brasil
,
Julia Innocenti Dinhane Salum 
1   Faculdade de Medicina de Jundiaí, Hospital São Vicente de Paulo, Jundiaí, SP, Brasil
,
Alexandre Venâncio Sousa 
1   Faculdade de Medicina de Jundiaí, Hospital São Vicente de Paulo, Jundiaí, SP, Brasil
,
Luis Felipe Maatz Ramos 
1   Faculdade de Medicina de Jundiaí, Hospital São Vicente de Paulo, Jundiaí, SP, Brasil
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Abstract

Objective Complex wounds are difficult-to-manage injuries that generate high patient morbidity and mortality and have shown a significant increase in prevalence. Due to their high institutional cost, there is a search for technologies that can accelerate the healing process. Therefore, negative pressure wound therapy (NPWT) emerges as a treatment option. The present study aims to review the literature on the use of NPWT in the treatment of complex wounds, to evaluate its adoption and create a proposal for guidance on how this technique can be applied in the treatment of patients hospitalized in the Brazilian Unified Health System (Sistema Único de Saúde – SUS, in Portuguese).

Materials and Methods The current integrative literature review is characterized by a qualitative focus and an exploratory context. The search was conducted across PubMed, Scientific Electronic Library Online (SciELO), and Academic Google databases. Specific keywords, wounds and injuries, wound closure techniques, negative-pressure wound therapy, and wound healing, were used. Inclusion criteria encompassed original articles and systematic reviews published between 2002 and 2022 in Portuguese, English, or Spanish, focusing on NPWT. Exclusions included unrelated topics, incomplete texts, basic forms of NPWT (without patent), studies from vacuum-assisted closure (VAC) manufacturing industries, and articles in which VAC was not employed for the closure of complex wounds.

Conclusion Despite the significant costs associated with vacuum therapy, this technique has demonstrated effectiveness in reducing healing time, hospitalization length, and consequently alleviating the overall financial burden of treating complex wounds. Simultaneously, it has the potential to significantly improve the quality of life for affected patients.

Keywords

negative-pressure wound therapy - Unified Health System - wound closure techniques - wound healing

Authors' Contribuitions

FAL: análise e/ou interpretação dos dados, concepção e desenho do estudo, gerenciamento do projeto, redação - preparação do original, redação - revisão e edição, e supervisão; MFI: análise e/ou interpretação dos dados, metodologia, e redação - revisão e edição; GCB: análise e/ou interpretação dos dados, metodologia, redação - preparação do original, e redação - revisão e edição; JIDS: análise e/ou interpretação dos dados, metodologia, visualização; AVS: aprovação final do manuscrito, gerenciamento do projeto, metodologia, redação – revisão e edição, e supervisão; LFMR: aprovação final do manuscrito, redação - revisão e edição, e supervisão




Publication History

Received: 09 September 2023

Accepted: 29 September 2024

Article published online:
30 January 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Felipe Andrade Lopes, Mariana Fernandes Inácio, Giovanna Cavalcanti Banov, Julia Innocenti Dinhane Salum, Alexandre Venâncio Sousa, Luis Felipe Maatz Ramos. Há espaço para o uso de terapia por pressão negativa no tratamento de feridas complexas de pacientes do SUS?. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39: s00451801875.
DOI: 10.1055/s-0045-1801875