{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T13:10:08Z","timestamp":1777813808628,"version":"3.51.4"},"reference-count":15,"publisher":"Akademiai Kiado Zrt.","issue":"42","license":[{"start":{"date-parts":[[2024,10,20]],"date-time":"2024-10-20T00:00:00Z","timestamp":1729382400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,10,20]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A negat\u00edv nyom\u00e1s\u00fa sebkezel\u00e9s egyre nagyobb szereppel\n                    b\u00edr a kr\u00f3nikus, nehezen gy\u00f3gyul\u00f3 sebek, sebfert\u0151z\u00e9sek kezel\u00e9s\u00e9ben. Az\n                    \u00e9rseb\u00e9szeti m\u0171t\u00e9teket k\u00f6vet\u0151en kialakul\u00f3 sebfert\u0151z\u00e9sek predilekci\u00f3s helye a\n                    femoralis h\u00e1romsz\u00f6g m\u0171t\u00e9ti bemetsz\u00e9sei. A sebfert\u0151z\u00e9s kialakul\u00e1s\u00e1ban szerepet\n                    j\u00e1tsz\u00f3 t\u00e9nyez\u0151k: diabetes, elh\u00edz\u00e1s, kor\u00e1bbi m\u0171t\u00e9tek ugyanebben a r\u00e9gi\u00f3ban,\n                    azonos oldali als\u00f3 v\u00e9gtagi gangraen\u00e1k, fek\u00e9lyek. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    Hipot\u00e9zis\u00fcnk, hogy a femoralis hajlat sebfert\u0151z\u00e9seit cs\u00f6kkentheti a negat\u00edv\n                    nyom\u00e1s\u00fa sebkezel\u00e9s z\u00e1rt seben val\u00f3 alkalmaz\u00e1sa a nagy rizik\u00f3j\u00fa csoportokban,\n                    ezzel egy\u00fctt cs\u00f6kkenthet\u0151 a rettegett \u00e9rseb\u00e9szeti sz\u00f6v\u0151dm\u00e9ny, a szeptikus graft\n                    kialakul\u00e1sa. <jats:italic>M\u00f3dszer:<\/jats:italic> Vizsg\u00e1latunkba 38 beteget vontunk be,\n                    akikn\u00e9l legal\u00e1bb egy krit\u00e9rium teljes\u00fclt a k\u00f6vetkez\u0151k k\u00f6z\u00fcl: testt\u00f6megindex\n                    &gt;30; kor\u00e1bbi m\u0171t\u00e9t ugyanebben a r\u00e9gi\u00f3ban; azonos oldali v\u00e9gtagon jelen l\u00e9v\u0151\n                    sz\u00f6vetelhal\u00e1s, seb. A kontrollcsoportba ker\u00fcl\u0151 betegekn\u00e9l (n = 19) hagyom\u00e1nyos\n                    sebfed\u00e9st (Cosmopor E) alkalmaztunk. Az incisionalis negat\u00edv nyom\u00e1s\u00fa\n                    sebkezel\u00e9sben r\u00e9szes\u00fcl\u0151 csoportban (n = 19) a m\u0171t\u0151ben a varratokkal egyeztetett\n                    sebet feh\u00e9r szivaccsal (VivanoMed White Foam) fedt\u00fck, f\u00f3li\u00e1val l\u00e9gmentesen\n                    lez\u00e1rtuk, \u00e9s ide csatlakoztattuk a v\u00e1kuumg\u00e9p portj\u00e1t, amelyen kereszt\u00fcl azonnal\n                    megkezd\u0151d\u00f6tt a seb sz\u00edv\u00e1sa (folyamatos \u00fczemm\u00f3d, 100 Hgmm). A kezel\u00e9s id\u0151tartam\u00e1t\n                    \u00e1tlagosan 7 napig tervezt\u00fck. A betegeket a posztoperat\u00edv 10., 30., 60. napon,\n                    ambulanci\u00e1nkon ellen\u0151rizt\u00fck. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A kontrollcsoportban a\n                    betegek 42,1%-\u00e1ban (n = 8) sebgy\u00f3gyul\u00e1si zavar, 36,8%-\u00e1ban (n = 7) sebfert\u0151z\u00e9s\n                    alakult ki. Egy esetben szeptikus graft miatt reoper\u00e1ci\u00f3t v\u00e9gezt\u00fcnk. Az\n                    incisionalis negat\u00edv nyom\u00e1s\u00fa sebkezel\u00e9sen \u00e1tesett csoportban 31,6%-ban (n = 6)\n                    jelentkezett sebgy\u00f3gyul\u00e1si zavar, 26,3%-ban (n = 5) sebfert\u0151z\u00e9s, egy esetben\n                    szeptikus graft. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> B\u00e1r a vizsg\u00e1lt csoportok k\u00f6z\u00f6tt\n                    nem tal\u00e1ltunk szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9get a primer v\u00e9gpont tekintet\u00e9ben,\n                    kimutattuk, hogy az elh\u00edzott, valamint a kor\u00e1bban l\u00e1gy\u00e9kfelt\u00e1r\u00e1sb\u00f3l v\u00e9gzett\n                    m\u0171t\u00e9ten \u00e1tesett betegek eset\u00e9n az incisionalis v\u00e1kuumkezel\u00e9s el\u0151ny\u00f6s lehet a\n                    hagyom\u00e1nyos sebkezel\u00e9ssel szemben. Orv Hetil. 2024; 165(42): 1652\u20131658.<\/jats:p>","DOI":"10.1556\/650.2024.33142","type":"journal-article","created":{"date-parts":[[2024,10,20]],"date-time":"2024-10-20T06:32:23Z","timestamp":1729405943000},"page":"1652-1658","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["A l\u00e1gy\u00e9khajlati felt\u00e1r\u00e1sb\u00f3l v\u00e9gzett \u00e9rm\u0171t\u00e9tek sebfert\u0151z\u00e9seinek megel\u0151z\u00e9se negat\u00edv nyom\u00e1s\u00fa sebkezel\u00e9ssel"],"prefix":"10.1556","volume":"165","author":[{"given":"Dorottya","family":"Szab\u00f3","sequence":"first","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, \u00c9rseb\u00e9szeti Klinika P\u00e9cs, Ifj\u00fas\u00e1g \u00fatja 13., 7624 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Szamanta","family":"Turi","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, \u00c9rseb\u00e9szeti Klinika P\u00e9cs, Ifj\u00fas\u00e1g \u00fatja 13., 7624 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gergely","family":"Vad\u00e1sz","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, \u00c9rseb\u00e9szeti Klinika P\u00e9cs, Ifj\u00fas\u00e1g \u00fatja 13., 7624 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melinda","family":"Gad\u00e1csi","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, \u00c9rseb\u00e9szeti Klinika P\u00e9cs, Ifj\u00fas\u00e1g \u00fatja 13., 7624 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Fazekas","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, \u00c9rseb\u00e9szeti Klinika P\u00e9cs, Ifj\u00fas\u00e1g \u00fatja 13., 7624 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Szaniszl\u00f3","family":"J\u00e1vor","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, \u00c9rseb\u00e9szeti Klinika P\u00e9cs, Ifj\u00fas\u00e1g \u00fatja 13., 7624 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Kasza","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, \u00c9rseb\u00e9szeti Klinika P\u00e9cs, Ifj\u00fas\u00e1g \u00fatja 13., 7624 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Jancs\u00f3","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, \u00c9rseb\u00e9szeti Klinika P\u00e9cs, Ifj\u00fas\u00e1g \u00fatja 13., 7624 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Benk\u0151","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, \u00c9rseb\u00e9szeti Klinika P\u00e9cs, Ifj\u00fas\u00e1g \u00fatja 13., 7624 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1067\/j.cpsurg.2014.04.001","article-title":"Effect of negative pressure wound therapy on wound healing","volume":"51","author":"1 Huang","year":"2014","unstructured":"1 Huang C, Leavitt T, Bayer LR, et al. 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