Agentes físicos na integração de enxertos de pele
Palavras-chave:
Modalidades de fisioterapia, Estimulação elétrica, Terapia a laser de baixa intensidade, Terapia por ultrassom, transplante de peleResumo
A enxertia cutânea é uma das técnicas mais comuns usadas na cirurgia plástica reparadora. Esta técnica é usada para cobertura de defeitos da pele resultantes de uma ampla variedade de causas. Diversos métodos para melhorar a viabilidade desses transplantes podem ser utilizados. Os agentes físicos podem ser importantes recursos no processo de integração do enxerto de pele; o objetivo deste estudo foi revisar estes agentes. A revisão da literatura foi realizada por meio das bases de dados Pubmed, Lilacs e SciELO, no período de 1970 a 2009. Os agentes físicos ainda são pouco utilizados, mas importantes na integração, função e estética dos enxertos de pele. Entre os artigos pesquisados, todos obtiveram resultados satisfatórios com a utilização dos diferentes agentes físicos na viabilidade do enxerto de pele.
Downloads
Referências
Young T, Fowler A. Tratamento de feridas: geren ciamento de enfermagem nos locais doadores e receptores de enxertos de pele/Wound healing: nursing procedures. Nursing (São Paulo). 1998; 1(3): 18-25.
Kiyoizumi T. Low levei diode laser treatment for hematomas under grafted skin and its photobiological mechanisms. Keio J Med. 1988; 37(4):415-28.
Gonçalves AC, Barbieri CH, Mazzer N, Garcia SB, Thomazini JA. Can therapeutic ultrasound influence the integration of skin grafts? Ultrasound Med Biol. 2007; 33(9):1406-12.
Bechara FG, Sand M, Radenhausen M, Sand D, Moussa G, Gambichler T, et ai. Erbium: YAG Laser Assisted preparation of a combined derma/full thickeness sandwich skin graft. Dermatol Surg. 2006; 32(3):353-8.
Politis MJ, Zanakis MF, Miller JE. Enhanced survival of full-thickness skin grafts following the application of DC electrical fields. Plast Reconst Surg. 1989; 84(2): 267-72.
McGregor IA, McGregor AD. Skin graft. ln: Fundamental techniques of plastic surgery: and their surgical applications. London: Churchil Livingstone; 1995. chapter 3. p.35-59.
Amâncio ACG, Barbieri CH, Mazzer N, Garcia SB, Thomazini JA. Estimulação ultra-sônica da integração de enxertos de pele total: estudo experimental em coelhos. Acta Ortop Bras. 2006; 14(5) 276-9.
Soares LP, Oliveira MG, Almeida Reis SR. Effects of diode laser therapy on the acellular dermal matrix. Cell Tissue Bank. 2009; 10(4):327-32.
Kiyoizumi T, Fujino T, Kubota J, Oshiro T. Clinicai effect of diode laser to improve fair take of the skin graft skin. Keio J Med. 1986; 35(1):28-35.
Kiyoizumi T. Low levei diode laser treatment for hematomas under grafted skin and its photobiological mechanismis. Keio J Med. 1988; 37(4):41 5-28.
Fujino T, Kiyoizumi T, Kubota J, Oshiro T. Clinicai effect of diode laser to improve fair take of the grafted skin. Keio J Med. 1986; 35(1):28-35.
Chan BP, Kochevar IE, Redmond RW. Enhancement of porcine skin graft adherence using a light-activated process. J Surg Res. 2002; 108(1):77-84
Paim CBV, Raiser AG, Cardoso E, Beck C. Enxerto autólogo de pele, em malha, com espessura completa, na reparação de feridas carpometacarpianas de cães. Resposta à irradiação laser AsGa. Ciênc Rural. 2002; 32(3)451-7.
Huckfeld R, Flick AB, Mikkelson D, Lowe C, Finley PJ. Wound closure after split-thickness skin grafting is accelerated with the use of continuous direct anodal microcurrent applied to silver nylon wound contact dressings. J Burn Care Res. 2007; 28:703-7.
Chu C-S, Matylevitch NP, McManus AT, Goodwin CW, Pruitt Jr BA. Accelerated healing with a mesh autograft/allodermal composite skin graft treated with silver nylon dressings with and without direct current in rats. J Trauma. 2000; 49(1):115-25.
Chu C-S, McManus AT, Matylevich NP, Mason AD, Pruitt BA. Enhanced survival of autoepidermal allodermal composite grafts in allosensitized animais by use of sylver-nylon dressings and direct current. J Trauma. 1995; 39(2):273-7
Chu C-S, McManus AT, Mason Jr AD, Okerberg CV, Pruitt Jr BA. Multiple graft harvestings from deep partial-thickness scald wounds healed under the influence of weak direct current. J Trauma. 1990; 30(8):1044-9.
Szczurek Z, Kubicki B. Effect of direct low-voltage current on the morphology of full-thickness skin graft in rat. Pol Med J. 1972; 11(6) 1555-9
Kubicki B. Effect of low-voltage direct current on the taking of free full-thickness skin graft in rats. Pai Med J.1972; 11(6):1549-53.
Dyson M. Role of ultrasound in wound healing. ln: Kloth LC, Miller KH. Wound healing. Philadelphia: Davis; 1990. p.259-85.
Young SR, Dyson M. Effect of therapeutic ultrasound on the healing of full-thickness excised skin lesions. Ultrasonics. 1990; 28(3):175-80.
Coakley WT Biohysical effects of ultrasound at therapeutics intensitites. Physiotherapy. 1978; 64(6): 166-9.
Haar G. Basic physics of therapeutic ultrasound. Physiotherapy.1978; 64(4): 100-3.
lvanov VV. Use of ultrasonics in the fixation of autologous skin transplants. Vestn Khir lm 1 1 Grek.1978; 139(8):110-1.
Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W. Vacuum-assisted closure: a new method for wound contrai and treatment: animal studies and basic foundation. Ann Plast Surg. 1997; 38(6):553-62.
Nease C. Using low pressure, negative pressure wound therapy for wound preparation and management of split-tickeness skin grafts in three patientes with complex wounds. Ostomy Wound Manag. 2009; 55(6):32-42
Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound contrai and treatment: clinicai experience. Ann Plast Surg. 1997;38(6) 563-7.
Jones SM, Banwell PE, Shakespeare PG. Advances in wound healing: topical negative pressure therapy. Postgrad Med J. 2005; 81(956):353-7
Banwell PE, Teot L. Topical negative pressure (TNP): the evolution of a novel wound therapy. J Wound Care. 2003; 12(1):22-8
Banwell PE. Topical negative pressure therapy in wound care. J Wound Care. 1999; 8(2):79-84
DeFranzo AJ, Marks MW, Argenta LC, Genecov DG. Vacuum-assisted closure for the treatment of degloving injuries. Plast Reconstr Surg. 1999; 104(7): 2145-8.
Landau AG, Hudson DA, Adams K, Geldenhuys S, Pienaar C. Full-thickness skin grafts: maximizing graft take using negative pressure dressings to prepare the graft bed. Ann Plast Surg. 2008; 60(6):661-6
Nakayama Y, lino T, Soeda S. A new method for the dressing of free skin grafts. Plast Reconstr Surg. 1990; 86(6): 1216-9.
Blackburn JH, Boemi L, Hall WW, Jeffords K, Hauck RM, Banducci DR, et ai. Negative-pressure dressings as a bolster for skin grafts. Ann Plast Surg. 1998; 40(5) 453-7.
lsago T, Nozaki M, Kikuchi Y, Honda T, Nakasawa H. Skin graft fixation with negative-pressure dressings. J Dermatol. 2003; 30(9):673-8.