вакуумная терапия ран

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2. . . . . Vivano VivanoTec VivanoMed 3. HARTMANN 1965 Telatrast 1967 ES1818 1873 18731874 - 1912 1976 Folioplast 1900 1818 18501900 1990 4. HARTMANN 2008/2009 BODE, 2003 PermaFoam2007 Hydrosorb Gel 1997 TenderWet 24 2006 Foliodrape Protect 24. Foliodress Protect Sorbalgon 2009 Peha- Hydrosorb 1990 2000 20052010 5. , 1798. ;. , 1804. ;. , XIX , ;.. , XIX , -; , 1906. . , ;.. , 1933. ;, 50- . XX . . 6. Dr. L. ArgentaDr. M. Morykwas Wake Forest( ), , 1990- ; Dr. W.Fleischmann, 1994 , ; . , 7. , , . , , ; . , . 8. Vacuum assisted closure therapy Vacuum sealing therapy V.A.C. therapy TNP treatment Topical negative pressure treatment Negative pressure wound treatmentNPWT Sub-atmospheric pressure dressings Vacuum sealing technique Negative pressure therapy Vacuum Instillation therapy 9. 2011 - Vivano NPWT System VivanoTec VivanoMed / 10. 11. , , (, , , ). , , . 12. . DeFranzo A.J. et al. Morykwas M. et al. , - 4-5 11 . , , , , . 13. . Morykwas M. et al. , -125 ... 400% , 5 -125 ... 2 -75 ... . 14. . , . , . . 15. . , . , . . , , . 16. . - , , . . , . . 17. . - ( 48 ). , , , . . , , . 18. 19. : / 20. : : 21. (20 ... 250 ...) ( 20 ...) ( 20 ... 230 ...) ( 40 250 ...) 22. 63,3 % !! 103 % !!! 4 ! 4 . : Michael. J. Morykwas, Louis C. Argenta, Erica I. Selton Brown, Wyman McGuirtAnnals of Plastic Surgery Vol. 38, Nr. 6, June 1997. 23. ( ) 24. VivanoTec. . . . . , , . . . . . 25. VivanoTec. . . . . . VivanoTec , . 26. , 800 164 206 95* - 1,2 * - 38 ** 300 16 * ** 80 .. 27. Vivano ! , , . 28. 29. . VivanoTec : - - 30. -20 .. -250 .. , , . . 2-3 . ( -20 .. -230 ..) ( -40 .. -250 ..) 1 10 . . 31. VivanoMed. . . VivanoTec Hydrofilm, , 32. VivanoMed. . . (VivanoTec) , . . (VivanoMed) . , , . , , . . 33. VivanoMed. . VivanoMed Foam VivanoMed . . , , , . . 34. VivanoMed. . , . : 1066 m () 5 ! 35. VivanoTec Port VivanoTec , . . 5 ! VivanoTec . . 36. VivanoTec . 3 . , . ! 37. Hydrofilm MVTR - - . , . . 38. 39. , , , . : / 125 . . 48 . 48 1224 . 40. 41. : . 125 . . 48 . 1224 . 42. ( ) 43. 44. : - . (, Hydrotul Atrauman Ag). : . 75 125 . . . 48 . 1224 . 45. 3 46. ( ): , . . : 50 125 . . . ( 48 . , 48 ) 1224 . 47. ( ) 48. : . . : 50 125 . . . ( 48 . , 48 1224 . ) 49. 50. ( ) 51. : . ( ) , . . : l 125 . . . 48 . 48 12 24 . 52. 4 53. . , , !NPWT : - , : , ; ; ; ; , 54. (MWD) / MWD 3 MWD 2NPWT MWDMWD/ 55. NPWT () / MWD* , NPWT MWD/ 56. Vivano Negative Pressure Therapy in Cardiac SurgeryPavel ekDepartment of Cardiac SurgeryUniversity Hospital in Hradec Krlov 57. ! 58. 59. Atrauman Ag 60. Vivano ( ) Vivano (2011):12 - 56 1 = 3.5 (1 13) NPWT . . 61. !