Pmd14 Prevention Versus Treatment of Venous Ulcers in Brazilian National Health System: How Much Could Be Saved?

Gomes, Rosângela Maria; Andrade, Cynthia Carolina Duarte; Dias, Cícero; Azevedo, Paulo Henrique; Álvares, Juliana; Acúrcio, Francisco de Assis; Guerra-Junior, A.A.

doi:10.1016/j.jval.2020.04.583

Cited by 1 publication

(3 citation statements)

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“…The Brazilian Institute of Geography and Statistics (IBGE) established that prevention measures for recurrent venous ulcer treatment could save nearly $1 billion in 5 years. [7][8][9] For the success of grafting chronic wounds, the wound bed preparation is extremely important. A precise diagnosis is followed by medical optimization of comorbidities, nutritional enhancement, maximizing perfusion, reducing bacterial counts, controlling biofilm, and removing nonviable tissue.…”

Section: Introductionmentioning

confidence: 99%

“…In Brazil, Social Security data reveals that chronic venous disease is ranked 14th as a cause of temporary leave from work and occupies the 32nd position on the list of permanent disabilities. The Brazilian Institute of Geography and Statistics (IBGE) established that prevention measures for recurrent venous ulcer treatment could save nearly $1 billion in 5 years 7–9 …”

Section: Introductionmentioning

confidence: 99%

“…The Brazilian Institute of Geography and Statistics (IBGE) established that prevention measures for recurrent venous ulcer treatment could save nearly $1 billion in 5 years. 7 , 8 , 9 …”

Section: Introductionmentioning

confidence: 99%

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Minced skin grafts for chronic wounds compared to conventional mesh grafts

Sanches-Pinto

Eriksson

Gómez

et al. 2023

Health Science Reports

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Background and Aims: Skin grafting is the single most effective method to close a chronic wound. The current standard of care is to use meshed split thickness skin grafts. This entails the use of surgical instruments that need to be autoclaved and to have a power source, which usually requires an OR facility. The minced skin technique uses single use, presterilized instruments and the procedure can be done under local anesthesia, by a wound care practitioner, in a wound clinic, a physician's office or even at the bedside. The current study was designed to determine if the results from micrografting were non inferior to conventional mesh grafting.Methods: In a prospective non inferiority study, 26 chronic ulcers were treated with micrografting (MSG) and 24 with conventional mesh grafts 1:3 (control group-CG) in a total of 21 patients, 10 male and 11 female. The donor site areas in the MSG group were predetermined to 2.5 × 5 cm and the mesh grafts expansion was set at 1:3. Results:In the first weeks postoperatively, micrograft healing initially lagged behind the conventional mesh grafts but at 60 days after grafting, all MSG wounds were healed. The MSG wounds had better pigmentation, less itching, and less scarring.The micrografting procedure was easy to learn and expeditious to perform. The MSG mean expansion was 9.1 compared to three times (CG). Conclusion:The MSG procedure is not inferior to conventional mesh grafting, requires smaller donor sites, and can be done with single use instruments, under local anesthesia, with early discharge.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%