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Uso topico dei "fattori di crescita" nel trattamento delle ulcere flebostatiche "difficili" degli arti inferiori
New method for bacterial load measurement during hydro-debridement of cutaneous ulcer
New method for bacterial load measurement during hydro-debridement of cutaneous ulcer.
Apperti M, Di Lucia A, Goffredi L, Federico P, Mattera E, Masella A, Della Rocca MD, Apperti S.
SourceSeconda Università degli Studi di Napoli, Dipartimento di Scienze Anestesiologiche, Chirurgiche e dell'Emergenza.
Abstract
AIM OF THE STUDY: Based on their experience using Versajet for debridement of chronic wounds, the Authors set up a study protocol to verify whether the hydro-surgical cleansing could offer the possibility of taking tissue specimens suitable for diagnostic microbiological evaluation. The aims of the study were the following:
MAIN PURPOSE: To evaluate the efficacy of hydro-surgery in detecting the presence of microorganisms and measuring their load, as an alternative to conventional tissue sampling methods; SECONDARY PURPOSE: To set up an easier and less invasive diagnostic modality than surgical biopsy, even though likewise significant.
RESULTS: The results of this study show that tissue specimen collection by hydro-aspiration using Versajet is comparable to biopsy sampling (and in some cases it can be even more reliable); moreover, it is not more time-consuming and is certainly less invasive. Compared to surgical biopsy, with such a method a greater amount of tissue may be collected; moreover, tissue specimens can be taken from a broader surface or, depending on the needs, from a more focused area on the margin or at the bottom of the woun
Confronto tra Chirurgia Tradizionale e trattamento Laser endovenoso della Vena Safena Interna incontinente.
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