DATA PROCESSING OF THE GRANULATION PROCESS IN OPEN FRACTURE WOUNDS TREATED WITH PLASTIC FILMS (PVC)

Abstract

With the objective of measuring the efficacy in the granulation process of a treatment with poly(vinyl chloride), PVC, films, derived from saline bags, in open fracture wounds, an analytical study of cases, of longitudinal and prospective type, was carried out from January 2017 to February 2019.  The process of treatment and application of the films was performed over a period of 8 weeks for each patient. A total of 20 patients were seen in this study. The variables analyzed for the study were: wound growth and depth, healing, exudate, cultures performed, antibiotic therapy, wound extension, lesion time, granulation, and debridement. As a result, 20 patients (90 %) with wounds from 15 cm2 to 110 cm2 healed in an average of 3 to 5 weeks. The characterization of the PVC films showed that their design in the form of channels and microscopic steps is a factor that favored granulation together with the physiology and biology of the healing process itself. In conclusion, the use of non-flat PVC films in open fracture wounds III A and III B, is a simple and reliable procedure, which allows to reduce the healing time in wounds with great tissue damage and bone exposure at low costs in an average of 3 to 5 weeks.