<\/span><\/strong><\/h4>\n<\/span><\/strong><\/h4>\n<\/span><\/strong><\/h4>\n<\/span><\/strong><\/h4>\n\u0218ef de lucr. Dr. Tama\u0219 Claudia<\/span><\/strong>
Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d, Bucure\u0219ti<\/p>\n<\/span><\/strong><\/h4>\n
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Preg\u0103tirea patului pl\u0103gii \u0219i cicatrizarea cutanat\u0103 – protocoale \u0219i cazuri clinice<\/span>
Autori: Camelia Tama\u0219, Angela Tecuceanu, Clara Larisa Ib\u0103nescu, Cristina St\u0103nescu, Audrey Clebant, Ioana Tama\u0219, Dan Cristian Moraru<\/span>
Universitatea de Medicina \u0219i Farmacie \u201eGr. T. Popa\u201d Ia\u0219i Departamentul de Chirurgie, Universitatea de Medicina \u0219i Farmacie \u201eGr. T. Popa\u201d Ia\u0219i Departamentul de \u0218tiin\u021be morfofunc\u021bionale, Universitatea de Medicina \u0219i Farmacie \u201eDunarea de Jos\u201d Gala\u021bi Departamentul de \u0218tiin\u021be morfofunc\u021bionale<\/p>\nCuvinte cheie: plag\u0103, debridare enzimatic\u0103, terapie cu presiune negative, acid hialuronic<\/p>\n
Introducere: Procesul de vindecare al pl\u0103gilor depinde de numero\u0219i factori locali printre care amintim: etiologia \u0219i mecanismul de producere al leziunii, momentul primei evalu\u0103ri clinice \u0219i al diagnosticului, gravitatea \u0219i extensia distrugerilor locale \u0219i regionale. Contextul general (efectul traumei sau leziunii asupra economiei organismului pacientului, dezechilibre sau comorbidit\u0103\u021bi anterioare leziunii, etc) este deasemeni important \u0219i influien\u021beaz\u0103 evolu\u021bia local\u0103.
Material \u0219i metod\u0103: Am aplicat protocoale diferite de tratament local \u00een cazul pl\u0103gilor acute accidentale extinse (arsuri superficiale \u0219i intermediare pe arii de 5-10% suprafa\u021b\u0103 cutanat\u0103) dar \u0219i al pl\u0103gilor chirurgicale reprezentate de zone donatoare de grefe de piele, similare ca dimensiuni (suprafa\u021b\u0103, profunzime) cu cele accidentale. Am monitorizat progresia epiteliz\u0103rii, gradul de contaminare bacterian\u0103 al pl\u0103gilor, managementul durerii dar \u0219i calitatea cicatricilor la ace\u0219ti pacien\u021bi. \u00cen mod similar, am urm\u0103rit aceea\u0219i parametri la pacien\u021bi cu pl\u0103gi cronice (necroze postinjectare intravenoas\u0103, ulcere trofice, defecte de p\u0103r\u021bi moi pe picior diabetic) \u0219i am aplicat protocoale de preg\u0103tire a patului lezional pentru reconstruc\u021bia chirurgical\u0103.
Rezultate: Rata zilnic\u0103 a procesului de vindecare a oscilat \u00eentre valori maxime de 5.22% din suprafa\u021ba ini\u021bial\u0103 a pl\u0103gii (\u00een cazul zonelor donatoare de grefe de piele) \u0219i 2.13% din suprafa\u021ba ini\u021bial\u0103 a pl\u0103gii (\u00een cazul arsurilor intermediare).
Concluzii: Am observat c\u0103 exist\u0103 corela\u021bii ale vitezei de progresie a vindec\u0103rii cu terapia local\u0103 aplicat\u0103: debridare enzimatic\u0103, terapie cu presiune negativ\u0103 sau debridare excizional\u0103, topice antibacteriene \u0219i cu acid hyaluronic, pansamente speciale care stimuleaz\u0103 dezvoltarea patului granular.<\/p>\n
Protocols and cases in wound bed preparation and skin cicatrisation <\/span>
Authors: Camelia Tama\u0219, Angela Tecuceanu, Clara Larisa Ib\u0103nescu, Cristina St\u0103nescu, Audrey Clebant, Ioana Tama\u0219, Dan Cristian Moraru<\/span>
\u201cGrigore T. Popa\u201d University of Medicine and Pharmacy Iasi Department of Surgery, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy Department of Morpho-functional Sciences Iasi, \u201cDunarea de Jos\u201d University of Medicine and Pharmacy Galati Department of Morpho-functional Sciences<\/p>\nKeywords: wound bed, enzimatic debridement, negative pressure, hyaluronic acid<\/p>\n
Introduction: The healing process of wounds depends on many local elements, namely lesion etiology, the moment of the first clinical examination and diagnose, the extent of local or regional tissues damage. The overall status of the patient is also of importance to the local outcome (associated comorbidities or the general impact of the injury).
Materials and method: We used different protocols for the local treatment of acute extended wounds (superficial and intermediate burns on 5-10% total body skin area) and for surgical wounds (skin graft donor zones) with comparative surface and thickness. We monitored the healing progress, the degree of bacterial contamination, pain management and also the quality of the scar tissue. We followed the same parameters for patients with chronic wounds (skin necrosis after intravenous injection, trophic ulcers, diabetes soft tissue complications), and we applied wound side different protocols in order to facilitate the surgical reconstruction.
Results: The daily rate of the healing process varied between a maximal value of 5.22% of the total wound surface (as seen for the skin grafts donor zones) and 2.13% of the total wound surface (as was the case for intermediary burns).
Conclusions: There is a connection between the daily healing rate and the local therapeutic protocols used: enzymatic debridement, negative pressure wound therapy or excisional debridement, antibacterial and hyaluronic acid topics, special wound dressings which stimulate the connective tissue development.<\/p>\n
Scurt CV<\/span><\/p>\n– Medic Primar Chirurgie Plastic\u0103, Estetic\u0103 \u0219i Microchirurgie Reconstructiv\u0103
– Coordonator activitate didactic\u0103 cu reziden\u021bii \u2013 disciplina de \u201cChirurgie Plastic\u0103 \u0219i Reconstructiv\u0103\u201d, UMF \u201cGrigore T. Popa\u201d Ia\u0219i
– Coordonator Regional Program Na\u021bional AP Arsuri
– Coordonator de activitate – disciplina de \u201cAbilit\u0103\u021bi Chirurgicale\u201d, \u00eenfiin\u021bat\u0103 \u00een anul 2013
– Coordonator cursuri \u0219i workshop-uri cu studen\u021bii \u00een cadrul Congressis<\/p>\n
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Contacteaz\u0103 operatorul PDI 2022<\/p>\n
[\/et_pb_text][et_pb_contact_form email=”contact@pdi.ro\/2019″ submit_button_text=”Trimite mesajul” _builder_version=”4.16″ _unique_id=”794aaef5-e005-432a-99fb-9ca53e06d67b” title_font=”||||||||” custom_button=”on” button_text_color=”#F0622A” global_colors_info=”{}”][et_pb_contact_field field_id=”Name” field_title=”Nume” _builder_version=”4.16″ global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Email” field_title=”Adresa de e-mail” field_type=”email” _builder_version=”4.16″ global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Message” field_title=”Mesajul dvs.” field_type=”text” fullwidth_field=”on” _builder_version=”4.16″ global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][\/et_pb_contact_form][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.16″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” global_colors_info=”{}”]<\/p>\n
Operatorul PDI 2022<\/p>\n
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![\"\"](\"https:\/\/pdi.ro\/2022\/wp-content\/uploads\/2020\/02\/eventer_logo_150px.png\")
<\/span><\/p>\n<\/span><\/p>\n<\/span><\/p>\nAdresa: Str. A. Panu nr. 13, Iasi<\/span>
Tel.: 0332.40.88.00-05<\/span>
E-mail: contact@pdi.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n[\/et_pb_text][et_pb_text disabled_on=”on|on|on” _builder_version=”4.16″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” disabled=”on” locked=”off” global_colors_info=”{}”]<\/p>\n
Parteneri Media<\/p>\n
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\u0218ef de lucr. Dr. Tama\u0219 Claudia Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d, Bucure\u0219ti Preg\u0103tirea patului pl\u0103gii \u0219i cicatrizarea cutanat\u0103 – protocoale \u0219i cazuri cliniceAutori: Camelia Tama\u0219, Angela Tecuceanu, Clara Larisa Ib\u0103nescu, Cristina St\u0103nescu, Audrey Clebant, Ioana Tama\u0219, Dan Cristian MoraruUniversitatea de Medicina \u0219i Farmacie \u201eGr. T. Popa\u201d Ia\u0219i Departamentul de Chirurgie, Universitatea de Medicina […]<\/p>\n","protected":false},"author":2,"featured_media":11454,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[12],"tags":[],"class_list":["post-11447","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lectori"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts\/11447","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/comments?post=11447"}],"version-history":[{"count":7,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts\/11447\/revisions"}],"predecessor-version":[{"id":11709,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts\/11447\/revisions\/11709"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/media\/11454"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/media?parent=11447"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/categories?post=11447"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/tags?post=11447"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/span><\/strong><\/h4>\n<\/span><\/strong><\/h4>\n\u0218ef de lucr. Dr. Tama\u0219 Claudia<\/span><\/strong>
Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d, Bucure\u0219ti<\/p>\n<\/span><\/strong><\/h4>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.16″ global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.17.0″ global_colors_info=”{}”]<\/p>\n
Preg\u0103tirea patului pl\u0103gii \u0219i cicatrizarea cutanat\u0103 – protocoale \u0219i cazuri clinice<\/span>
Autori: Camelia Tama\u0219, Angela Tecuceanu, Clara Larisa Ib\u0103nescu, Cristina St\u0103nescu, Audrey Clebant, Ioana Tama\u0219, Dan Cristian Moraru<\/span>
Universitatea de Medicina \u0219i Farmacie \u201eGr. T. Popa\u201d Ia\u0219i Departamentul de Chirurgie, Universitatea de Medicina \u0219i Farmacie \u201eGr. T. Popa\u201d Ia\u0219i Departamentul de \u0218tiin\u021be morfofunc\u021bionale, Universitatea de Medicina \u0219i Farmacie \u201eDunarea de Jos\u201d Gala\u021bi Departamentul de \u0218tiin\u021be morfofunc\u021bionale<\/p>\nCuvinte cheie: plag\u0103, debridare enzimatic\u0103, terapie cu presiune negative, acid hialuronic<\/p>\n
Introducere: Procesul de vindecare al pl\u0103gilor depinde de numero\u0219i factori locali printre care amintim: etiologia \u0219i mecanismul de producere al leziunii, momentul primei evalu\u0103ri clinice \u0219i al diagnosticului, gravitatea \u0219i extensia distrugerilor locale \u0219i regionale. Contextul general (efectul traumei sau leziunii asupra economiei organismului pacientului, dezechilibre sau comorbidit\u0103\u021bi anterioare leziunii, etc) este deasemeni important \u0219i influien\u021beaz\u0103 evolu\u021bia local\u0103.
Material \u0219i metod\u0103: Am aplicat protocoale diferite de tratament local \u00een cazul pl\u0103gilor acute accidentale extinse (arsuri superficiale \u0219i intermediare pe arii de 5-10% suprafa\u021b\u0103 cutanat\u0103) dar \u0219i al pl\u0103gilor chirurgicale reprezentate de zone donatoare de grefe de piele, similare ca dimensiuni (suprafa\u021b\u0103, profunzime) cu cele accidentale. Am monitorizat progresia epiteliz\u0103rii, gradul de contaminare bacterian\u0103 al pl\u0103gilor, managementul durerii dar \u0219i calitatea cicatricilor la ace\u0219ti pacien\u021bi. \u00cen mod similar, am urm\u0103rit aceea\u0219i parametri la pacien\u021bi cu pl\u0103gi cronice (necroze postinjectare intravenoas\u0103, ulcere trofice, defecte de p\u0103r\u021bi moi pe picior diabetic) \u0219i am aplicat protocoale de preg\u0103tire a patului lezional pentru reconstruc\u021bia chirurgical\u0103.
Rezultate: Rata zilnic\u0103 a procesului de vindecare a oscilat \u00eentre valori maxime de 5.22% din suprafa\u021ba ini\u021bial\u0103 a pl\u0103gii (\u00een cazul zonelor donatoare de grefe de piele) \u0219i 2.13% din suprafa\u021ba ini\u021bial\u0103 a pl\u0103gii (\u00een cazul arsurilor intermediare).
Concluzii: Am observat c\u0103 exist\u0103 corela\u021bii ale vitezei de progresie a vindec\u0103rii cu terapia local\u0103 aplicat\u0103: debridare enzimatic\u0103, terapie cu presiune negativ\u0103 sau debridare excizional\u0103, topice antibacteriene \u0219i cu acid hyaluronic, pansamente speciale care stimuleaz\u0103 dezvoltarea patului granular.<\/p>\n
Protocols and cases in wound bed preparation and skin cicatrisation <\/span>
Authors: Camelia Tama\u0219, Angela Tecuceanu, Clara Larisa Ib\u0103nescu, Cristina St\u0103nescu, Audrey Clebant, Ioana Tama\u0219, Dan Cristian Moraru<\/span>
\u201cGrigore T. Popa\u201d University of Medicine and Pharmacy Iasi Department of Surgery, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy Department of Morpho-functional Sciences Iasi, \u201cDunarea de Jos\u201d University of Medicine and Pharmacy Galati Department of Morpho-functional Sciences<\/p>\nKeywords: wound bed, enzimatic debridement, negative pressure, hyaluronic acid<\/p>\n
Introduction: The healing process of wounds depends on many local elements, namely lesion etiology, the moment of the first clinical examination and diagnose, the extent of local or regional tissues damage. The overall status of the patient is also of importance to the local outcome (associated comorbidities or the general impact of the injury).
Materials and method: We used different protocols for the local treatment of acute extended wounds (superficial and intermediate burns on 5-10% total body skin area) and for surgical wounds (skin graft donor zones) with comparative surface and thickness. We monitored the healing progress, the degree of bacterial contamination, pain management and also the quality of the scar tissue. We followed the same parameters for patients with chronic wounds (skin necrosis after intravenous injection, trophic ulcers, diabetes soft tissue complications), and we applied wound side different protocols in order to facilitate the surgical reconstruction.
Results: The daily rate of the healing process varied between a maximal value of 5.22% of the total wound surface (as seen for the skin grafts donor zones) and 2.13% of the total wound surface (as was the case for intermediary burns).
Conclusions: There is a connection between the daily healing rate and the local therapeutic protocols used: enzymatic debridement, negative pressure wound therapy or excisional debridement, antibacterial and hyaluronic acid topics, special wound dressings which stimulate the connective tissue development.<\/p>\n
Scurt CV<\/span><\/p>\n– Medic Primar Chirurgie Plastic\u0103, Estetic\u0103 \u0219i Microchirurgie Reconstructiv\u0103
– Coordonator activitate didactic\u0103 cu reziden\u021bii \u2013 disciplina de \u201cChirurgie Plastic\u0103 \u0219i Reconstructiv\u0103\u201d, UMF \u201cGrigore T. Popa\u201d Ia\u0219i
– Coordonator Regional Program Na\u021bional AP Arsuri
– Coordonator de activitate – disciplina de \u201cAbilit\u0103\u021bi Chirurgicale\u201d, \u00eenfiin\u021bat\u0103 \u00een anul 2013
– Coordonator cursuri \u0219i workshop-uri cu studen\u021bii \u00een cadrul Congressis<\/p>\n
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Contacteaz\u0103 operatorul PDI 2022<\/p>\n
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Operatorul PDI 2022<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=”4.16″ text_font=”||||||||” global_colors_info=”{}”]<\/p>\n
<\/span><\/p>\n<\/span><\/p>\n<\/span><\/p>\nAdresa: Str. A. Panu nr. 13, Iasi<\/span>
Tel.: 0332.40.88.00-05<\/span>
E-mail: contact@pdi.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n[\/et_pb_text][et_pb_text disabled_on=”on|on|on” _builder_version=”4.16″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” disabled=”on” locked=”off” global_colors_info=”{}”]<\/p>\n
Parteneri Media<\/p>\n
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\u0218ef de lucr. Dr. Tama\u0219 Claudia Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d, Bucure\u0219ti Preg\u0103tirea patului pl\u0103gii \u0219i cicatrizarea cutanat\u0103 – protocoale \u0219i cazuri cliniceAutori: Camelia Tama\u0219, Angela Tecuceanu, Clara Larisa Ib\u0103nescu, Cristina St\u0103nescu, Audrey Clebant, Ioana Tama\u0219, Dan Cristian MoraruUniversitatea de Medicina \u0219i Farmacie \u201eGr. T. Popa\u201d Ia\u0219i Departamentul de Chirurgie, Universitatea de Medicina […]<\/p>\n","protected":false},"author":2,"featured_media":11454,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[12],"tags":[],"class_list":["post-11447","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lectori"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts\/11447","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/comments?post=11447"}],"version-history":[{"count":7,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts\/11447\/revisions"}],"predecessor-version":[{"id":11709,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts\/11447\/revisions\/11709"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/media\/11454"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/media?parent=11447"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/categories?post=11447"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/tags?post=11447"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\u0218ef de lucr. Dr. Tama\u0219 Claudia<\/span><\/strong>
Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d, Bucure\u0219ti<\/p>\n<\/span><\/strong><\/h4>\n
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Preg\u0103tirea patului pl\u0103gii \u0219i cicatrizarea cutanat\u0103 – protocoale \u0219i cazuri clinice<\/span>
Autori: Camelia Tama\u0219, Angela Tecuceanu, Clara Larisa Ib\u0103nescu, Cristina St\u0103nescu, Audrey Clebant, Ioana Tama\u0219, Dan Cristian Moraru<\/span>
Universitatea de Medicina \u0219i Farmacie \u201eGr. T. Popa\u201d Ia\u0219i Departamentul de Chirurgie, Universitatea de Medicina \u0219i Farmacie \u201eGr. T. Popa\u201d Ia\u0219i Departamentul de \u0218tiin\u021be morfofunc\u021bionale, Universitatea de Medicina \u0219i Farmacie \u201eDunarea de Jos\u201d Gala\u021bi Departamentul de \u0218tiin\u021be morfofunc\u021bionale<\/p>\nCuvinte cheie: plag\u0103, debridare enzimatic\u0103, terapie cu presiune negative, acid hialuronic<\/p>\n
Introducere: Procesul de vindecare al pl\u0103gilor depinde de numero\u0219i factori locali printre care amintim: etiologia \u0219i mecanismul de producere al leziunii, momentul primei evalu\u0103ri clinice \u0219i al diagnosticului, gravitatea \u0219i extensia distrugerilor locale \u0219i regionale. Contextul general (efectul traumei sau leziunii asupra economiei organismului pacientului, dezechilibre sau comorbidit\u0103\u021bi anterioare leziunii, etc) este deasemeni important \u0219i influien\u021beaz\u0103 evolu\u021bia local\u0103.
Material \u0219i metod\u0103: Am aplicat protocoale diferite de tratament local \u00een cazul pl\u0103gilor acute accidentale extinse (arsuri superficiale \u0219i intermediare pe arii de 5-10% suprafa\u021b\u0103 cutanat\u0103) dar \u0219i al pl\u0103gilor chirurgicale reprezentate de zone donatoare de grefe de piele, similare ca dimensiuni (suprafa\u021b\u0103, profunzime) cu cele accidentale. Am monitorizat progresia epiteliz\u0103rii, gradul de contaminare bacterian\u0103 al pl\u0103gilor, managementul durerii dar \u0219i calitatea cicatricilor la ace\u0219ti pacien\u021bi. \u00cen mod similar, am urm\u0103rit aceea\u0219i parametri la pacien\u021bi cu pl\u0103gi cronice (necroze postinjectare intravenoas\u0103, ulcere trofice, defecte de p\u0103r\u021bi moi pe picior diabetic) \u0219i am aplicat protocoale de preg\u0103tire a patului lezional pentru reconstruc\u021bia chirurgical\u0103.
Rezultate: Rata zilnic\u0103 a procesului de vindecare a oscilat \u00eentre valori maxime de 5.22% din suprafa\u021ba ini\u021bial\u0103 a pl\u0103gii (\u00een cazul zonelor donatoare de grefe de piele) \u0219i 2.13% din suprafa\u021ba ini\u021bial\u0103 a pl\u0103gii (\u00een cazul arsurilor intermediare).
Concluzii: Am observat c\u0103 exist\u0103 corela\u021bii ale vitezei de progresie a vindec\u0103rii cu terapia local\u0103 aplicat\u0103: debridare enzimatic\u0103, terapie cu presiune negativ\u0103 sau debridare excizional\u0103, topice antibacteriene \u0219i cu acid hyaluronic, pansamente speciale care stimuleaz\u0103 dezvoltarea patului granular.<\/p>\n
Protocols and cases in wound bed preparation and skin cicatrisation <\/span>
Authors: Camelia Tama\u0219, Angela Tecuceanu, Clara Larisa Ib\u0103nescu, Cristina St\u0103nescu, Audrey Clebant, Ioana Tama\u0219, Dan Cristian Moraru<\/span>
\u201cGrigore T. Popa\u201d University of Medicine and Pharmacy Iasi Department of Surgery, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy Department of Morpho-functional Sciences Iasi, \u201cDunarea de Jos\u201d University of Medicine and Pharmacy Galati Department of Morpho-functional Sciences<\/p>\nKeywords: wound bed, enzimatic debridement, negative pressure, hyaluronic acid<\/p>\n
Introduction: The healing process of wounds depends on many local elements, namely lesion etiology, the moment of the first clinical examination and diagnose, the extent of local or regional tissues damage. The overall status of the patient is also of importance to the local outcome (associated comorbidities or the general impact of the injury).
Materials and method: We used different protocols for the local treatment of acute extended wounds (superficial and intermediate burns on 5-10% total body skin area) and for surgical wounds (skin graft donor zones) with comparative surface and thickness. We monitored the healing progress, the degree of bacterial contamination, pain management and also the quality of the scar tissue. We followed the same parameters for patients with chronic wounds (skin necrosis after intravenous injection, trophic ulcers, diabetes soft tissue complications), and we applied wound side different protocols in order to facilitate the surgical reconstruction.
Results: The daily rate of the healing process varied between a maximal value of 5.22% of the total wound surface (as seen for the skin grafts donor zones) and 2.13% of the total wound surface (as was the case for intermediary burns).
Conclusions: There is a connection between the daily healing rate and the local therapeutic protocols used: enzymatic debridement, negative pressure wound therapy or excisional debridement, antibacterial and hyaluronic acid topics, special wound dressings which stimulate the connective tissue development.<\/p>\n
Scurt CV<\/span><\/p>\n– Medic Primar Chirurgie Plastic\u0103, Estetic\u0103 \u0219i Microchirurgie Reconstructiv\u0103
– Coordonator activitate didactic\u0103 cu reziden\u021bii \u2013 disciplina de \u201cChirurgie Plastic\u0103 \u0219i Reconstructiv\u0103\u201d, UMF \u201cGrigore T. Popa\u201d Ia\u0219i
– Coordonator Regional Program Na\u021bional AP Arsuri
– Coordonator de activitate – disciplina de \u201cAbilit\u0103\u021bi Chirurgicale\u201d, \u00eenfiin\u021bat\u0103 \u00een anul 2013
– Coordonator cursuri \u0219i workshop-uri cu studen\u021bii \u00een cadrul Congressis<\/p>\n
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Contacteaz\u0103 operatorul PDI 2022<\/p>\n
[\/et_pb_text][et_pb_contact_form email=”contact@pdi.ro\/2019″ submit_button_text=”Trimite mesajul” _builder_version=”4.16″ _unique_id=”794aaef5-e005-432a-99fb-9ca53e06d67b” title_font=”||||||||” custom_button=”on” button_text_color=”#F0622A” global_colors_info=”{}”][et_pb_contact_field field_id=”Name” field_title=”Nume” _builder_version=”4.16″ global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Email” field_title=”Adresa de e-mail” field_type=”email” _builder_version=”4.16″ global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Message” field_title=”Mesajul dvs.” field_type=”text” fullwidth_field=”on” _builder_version=”4.16″ global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][\/et_pb_contact_form][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.16″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” global_colors_info=”{}”]<\/p>\n
Operatorul PDI 2022<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=”4.16″ text_font=”||||||||” global_colors_info=”{}”]<\/p>\n
<\/span><\/p>\n<\/span><\/p>\n<\/span><\/p>\nAdresa: Str. A. Panu nr. 13, Iasi<\/span>
Tel.: 0332.40.88.00-05<\/span>
E-mail: contact@pdi.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n[\/et_pb_text][et_pb_text disabled_on=”on|on|on” _builder_version=”4.16″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” disabled=”on” locked=”off” global_colors_info=”{}”]<\/p>\n
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\u0218ef de lucr. Dr. Tama\u0219 Claudia Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d, Bucure\u0219ti Preg\u0103tirea patului pl\u0103gii \u0219i cicatrizarea cutanat\u0103 – protocoale \u0219i cazuri cliniceAutori: Camelia Tama\u0219, Angela Tecuceanu, Clara Larisa Ib\u0103nescu, Cristina St\u0103nescu, Audrey Clebant, Ioana Tama\u0219, Dan Cristian MoraruUniversitatea de Medicina \u0219i Farmacie \u201eGr. T. Popa\u201d Ia\u0219i Departamentul de Chirurgie, Universitatea de Medicina […]<\/p>\n","protected":false},"author":2,"featured_media":11454,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[12],"tags":[],"class_list":["post-11447","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lectori"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts\/11447","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/comments?post=11447"}],"version-history":[{"count":7,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts\/11447\/revisions"}],"predecessor-version":[{"id":11709,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts\/11447\/revisions\/11709"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/media\/11454"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/media?parent=11447"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/categories?post=11447"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/tags?post=11447"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Autori: Camelia Tama\u0219, Angela Tecuceanu, Clara Larisa Ib\u0103nescu, Cristina St\u0103nescu, Audrey Clebant, Ioana Tama\u0219, Dan Cristian Moraru<\/span>
Universitatea de Medicina \u0219i Farmacie \u201eGr. T. Popa\u201d Ia\u0219i Departamentul de Chirurgie, Universitatea de Medicina \u0219i Farmacie \u201eGr. T. Popa\u201d Ia\u0219i Departamentul de \u0218tiin\u021be morfofunc\u021bionale, Universitatea de Medicina \u0219i Farmacie \u201eDunarea de Jos\u201d Gala\u021bi Departamentul de \u0218tiin\u021be morfofunc\u021bionale<\/p>\n
Cuvinte cheie: plag\u0103, debridare enzimatic\u0103, terapie cu presiune negative, acid hialuronic<\/p>\n
Introducere: Procesul de vindecare al pl\u0103gilor depinde de numero\u0219i factori locali printre care amintim: etiologia \u0219i mecanismul de producere al leziunii, momentul primei evalu\u0103ri clinice \u0219i al diagnosticului, gravitatea \u0219i extensia distrugerilor locale \u0219i regionale. Contextul general (efectul traumei sau leziunii asupra economiei organismului pacientului, dezechilibre sau comorbidit\u0103\u021bi anterioare leziunii, etc) este deasemeni important \u0219i influien\u021beaz\u0103 evolu\u021bia local\u0103.
Material \u0219i metod\u0103: Am aplicat protocoale diferite de tratament local \u00een cazul pl\u0103gilor acute accidentale extinse (arsuri superficiale \u0219i intermediare pe arii de 5-10% suprafa\u021b\u0103 cutanat\u0103) dar \u0219i al pl\u0103gilor chirurgicale reprezentate de zone donatoare de grefe de piele, similare ca dimensiuni (suprafa\u021b\u0103, profunzime) cu cele accidentale. Am monitorizat progresia epiteliz\u0103rii, gradul de contaminare bacterian\u0103 al pl\u0103gilor, managementul durerii dar \u0219i calitatea cicatricilor la ace\u0219ti pacien\u021bi. \u00cen mod similar, am urm\u0103rit aceea\u0219i parametri la pacien\u021bi cu pl\u0103gi cronice (necroze postinjectare intravenoas\u0103, ulcere trofice, defecte de p\u0103r\u021bi moi pe picior diabetic) \u0219i am aplicat protocoale de preg\u0103tire a patului lezional pentru reconstruc\u021bia chirurgical\u0103.
Rezultate: Rata zilnic\u0103 a procesului de vindecare a oscilat \u00eentre valori maxime de 5.22% din suprafa\u021ba ini\u021bial\u0103 a pl\u0103gii (\u00een cazul zonelor donatoare de grefe de piele) \u0219i 2.13% din suprafa\u021ba ini\u021bial\u0103 a pl\u0103gii (\u00een cazul arsurilor intermediare).
Concluzii: Am observat c\u0103 exist\u0103 corela\u021bii ale vitezei de progresie a vindec\u0103rii cu terapia local\u0103 aplicat\u0103: debridare enzimatic\u0103, terapie cu presiune negativ\u0103 sau debridare excizional\u0103, topice antibacteriene \u0219i cu acid hyaluronic, pansamente speciale care stimuleaz\u0103 dezvoltarea patului granular.<\/p>\n
Protocols and cases in wound bed preparation and skin cicatrisation <\/span> Keywords: wound bed, enzimatic debridement, negative pressure, hyaluronic acid<\/p>\n Introduction: The healing process of wounds depends on many local elements, namely lesion etiology, the moment of the first clinical examination and diagnose, the extent of local or regional tissues damage. The overall status of the patient is also of importance to the local outcome (associated comorbidities or the general impact of the injury). 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Dr. Tama\u0219 Claudia Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d, Bucure\u0219ti Preg\u0103tirea patului pl\u0103gii \u0219i cicatrizarea cutanat\u0103 – protocoale \u0219i cazuri cliniceAutori: Camelia Tama\u0219, Angela Tecuceanu, Clara Larisa Ib\u0103nescu, Cristina St\u0103nescu, Audrey Clebant, Ioana Tama\u0219, Dan Cristian MoraruUniversitatea de Medicina \u0219i Farmacie \u201eGr. T. Popa\u201d Ia\u0219i Departamentul de Chirurgie, Universitatea de Medicina […]<\/p>\n","protected":false},"author":2,"featured_media":11454,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[12],"tags":[],"class_list":["post-11447","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lectori"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts\/11447","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/comments?post=11447"}],"version-history":[{"count":7,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts\/11447\/revisions"}],"predecessor-version":[{"id":11709,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts\/11447\/revisions\/11709"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/media\/11454"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/media?parent=11447"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/categories?post=11447"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/tags?post=11447"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Authors: Camelia Tama\u0219, Angela Tecuceanu, Clara Larisa Ib\u0103nescu, Cristina St\u0103nescu, Audrey Clebant, Ioana Tama\u0219, Dan Cristian Moraru<\/span>
\u201cGrigore T. Popa\u201d University of Medicine and Pharmacy Iasi Department of Surgery, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy Department of Morpho-functional Sciences Iasi, \u201cDunarea de Jos\u201d University of Medicine and Pharmacy Galati Department of Morpho-functional Sciences<\/p>\n
Materials and method: We used different protocols for the local treatment of acute extended wounds (superficial and intermediate burns on 5-10% total body skin area) and for surgical wounds (skin graft donor zones) with comparative surface and thickness. We monitored the healing progress, the degree of bacterial contamination, pain management and also the quality of the scar tissue. We followed the same parameters for patients with chronic wounds (skin necrosis after intravenous injection, trophic ulcers, diabetes soft tissue complications), and we applied wound side different protocols in order to facilitate the surgical reconstruction.
Results: The daily rate of the healing process varied between a maximal value of 5.22% of the total wound surface (as seen for the skin grafts donor zones) and 2.13% of the total wound surface (as was the case for intermediary burns).
Conclusions: There is a connection between the daily healing rate and the local therapeutic protocols used: enzymatic debridement, negative pressure wound therapy or excisional debridement, antibacterial and hyaluronic acid topics, special wound dressings which stimulate the connective tissue development.<\/p>\n
– Coordonator activitate didactic\u0103 cu reziden\u021bii \u2013 disciplina de \u201cChirurgie Plastic\u0103 \u0219i Reconstructiv\u0103\u201d, UMF \u201cGrigore T. Popa\u201d Ia\u0219i
– Coordonator Regional Program Na\u021bional AP Arsuri
– Coordonator de activitate – disciplina de \u201cAbilit\u0103\u021bi Chirurgicale\u201d, \u00eenfiin\u021bat\u0103 \u00een anul 2013
– Coordonator cursuri \u0219i workshop-uri cu studen\u021bii \u00een cadrul Congressis<\/p>\n<\/span><\/p>\n
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