Topikal Negatif Basınç (TNB) Uygulama Alanları Ve Etki Mekanizmaları

Topical Negative Pressure (TNP): Fields of Applications and Mechanisms of Effect Topical negative pressure (TNP) application is recognized as a valid method to accelerate wound healing process and has been put to active clinical use for the last 15 years. This method incorporates the application of sub atmospheric pressure to a wound in a localized and controlled manner. The device which imposes topical negative pressure, the V.A.C. system (Vacuum Assisted Closure-Kinetic Concept Inc. USA) is being used for our patients by the chronic wound treatment center of our clinic for two years. Shrinkage of wound area, decreased local edema, and increased granulation tissue formation were observed in the lesions treated with TNP. These results have confirmed that, TNP application has become an effective tool for preoperative wound preparation in our clinic. The present study, we reviewed the use and means of benefit of TNP application in our clinic for the last two years were reviewed. Topikal negatif basinc (TNB) uygulamasi; akut ve kronik yaralarda son 15 yildir yaygin olarak kullanilan ve yara iyilesmesini hizlandiran gecerli bir yontemdir. Bu yontemde yaraya belli surelerle kontrollu ve lokalize atmosfer alti basinc uygulanir. Topikal negatif basinc saglayan V.A.C sistemi (Vacuum Assisted Closure-Kinetic Concept Inc. USA), son iki yildir bolumumuz Kronik Yara Merkezi tarafindan hastalarimiza uygulanmaktadir. TNB ile tedavi edilen lezyonlarda, yara alanlarinda kuculme, lokal yara odeminde azalma ve granulasyon dokusu olusumunda artis gozlendi. Bu sonuclar TNB uygulamasinin yarayi ameliyata hazirlama amaciyla kullanilan etkili bir secenek oldugunu dogrulamistir. Klinigimizde de son iki yildir kullanilan TNB saglayan V.A.C sisteminin kullanimi ve etki mekanizmalari gozden gecirilmistir.