Fasciotomy closure using negative pressure wound therapy in lower leg compartment syndrome

Krtička, Milan; Ira, Daniel; Bilik, Andrej; Rotschein, Pavel; Švancara, Jan

doi:10.4149/bll_2016_136

Cited by 9 publications

(7 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Negative pressure wound therapy creates a closed environment that protects the wound from the external environment. [ 17 ] In addition, VAC is a method that increases wound healing by stimulating angiogenesis and cell division, removing bacteria-rich exudate from wound edges and eliminating edema. [ 18 , 19 ] Kakagia et al[ 15 ] reported infection in 24% of the patients in the VAC group and in 16% of the patients followed with an approximation suture.…”

Section: Discussionmentioning

confidence: 99%

Comparison of dermatotraction and negative pressure wound therapy for closure of cruris fasciotomy after 2023 Kahramanmaras earthquake

Kılıçarslan¹,

Erdoğan

Karaman³

et al. 2023

Jt Dis Relat Surg

View full text Add to dashboard Cite

Objectives This study aims to evaluate the results of patients who underwent cruris fasciotomy for acute compartment syndrome (ACS) after the 2023 Kahramanmaras earthquake and used subcuticular polydioxanone (PDS) method or negative pressure wound therapy (NPWT) with vacuum-assisted closure (VAC) for fasciotomy follow-up and closure of the defect. Patients and methods Between March 2023 and April 2023, a total of 52 patients (31 males, 21 females; mean age: 29±14.8 years; range, 5 to 74 years) were retrospectively analyzed. The patients were divided into two groups as the dermatotraction (PDS) group (Group 1, n=30), and the VAC group (Group 2, n=22). Data including demographic, clinical, and operative data such as fasciotomy closure time, graft need, and infection rate were recorded. Results More grafts were needed to close the fasciotomy in patients followed with VAC. The mean closure time of the fasciotomy was 25.9±3.8 days in the PDS group and 27.3±3.5 days in the VAC group, indicating no significant difference between the groups (p=0.738). There was no significant difference in the rate of wound infection between the two groups (p=0.482). Conclusion Our study results suggest that more grafts are needed to close the fasciotomy in patients followed with VAC; however, it seems to increase the cost of the treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison of dermatotraction and negative pressure wound therapy for closure of cruris fasciotomy after 2023 Kahramanmaras earthquake

Kılıçarslan¹,

Erdoğan

Karaman³

et al. 2023

Jt Dis Relat Surg

View full text Add to dashboard Cite

show abstract

“…Zhang et al 28 concluded in his study that VSD associated with skin-stretching device could improve the treatment outcomes of stress-induced injuries. Krticka et al 29 also concluded that VSD combined with a dynamic method could be very effective for fasciotomy wound closure in comparison with traditional techniques. Wu et al 30 and Ji et al 31 shared their successful experience about the application of VSD and skin stretching technique in the treatment of diabetic foot wounds.…”

Section: Discussionmentioning

confidence: 99%

Closure of Complex Wounds by a Simple Skin Stretching System Associated With Vacuum Sealing Drainage—Clinical Outcome of 34 Patients

Chen

Mao

et al. 2021

The International Journal of Lower Extremity Wounds

View full text Add to dashboard Cite

Management of complex wounds with large skin defects presents a real challenge for orthopedic or reconstructive surgeons. We developed a simple skin stretching system associated with vacuum sealing drainage to examine the efficiency and complication. A total of 34 patients with different types of complex wounds were retrospectively included from January 2015 to March 2021. All patients in the study were underwent the treatment by 2 stages. The method was used to the wounds from 4.71 to 169.65 cm2 with a median defect size of 25.13 cm2. The median time for wound closure was 11.5 days (range: 5-32 days), although the median absolute reduction was 2.08 cm2/day (range: 0.15-25.66 cm2/day). Depending on the site of the wounds, the cause of the wound, and the rate of max-width/max-length ( W/ L), these complex wounds could be separately divided into several groups. There were statistically significant differences in the median value of the above variables ( P < .05 Kruskal–Wallis test). The results showed that different anatomical sites had different viscoelastic properties, the complex wounds caused by trauma were easier to close than caused by diabetic foot and the complex wounds in group A ( W/ L ＞ 0.5) were more difficult to close than in group B ( W/ L ≤ 0.5). No major complications were encountered in this study. In summary, the results of our study showed that the simple skin stretching system associated with vacuum sealing drainage was a safe approach for closure of complex wounds. Nevertheless, more attention should be paid to the viscoelasticity of the wounds to ensure closure and avoid undue complications when applying the method.

show abstract

“…The analysis of single-incision versus dual-incision fasciotomy shows that the results of applied fasciotomy techniques are similar, and the choice of the method should be based on surgeon experience and clinical patients' condition [11]. Unfortunately, primary wound closure might be difficult to achieve due to significant swelling of the limb, skin retraction and skin edge necrosis [12,13].…”

Section: Discussionmentioning

confidence: 99%

Using Negative Pressure Wound Therapy in the Treatment of Wounds After Fasciotomy in Acute Compartment Syndrome - Retrospective Case Series Study

Miszczuk¹,

Błońska-Staniec²,

Michalska³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background and Objectives: Acute compartment syndrome (ACS) is an emergency condition of the lower limb in which prophylactic fasciotomy is required to prevent complications. A negative pressure wound therapy (NPWT) used to the treatment of fasciotomy wounds provide beneficial clinical results. This study aimed to exchange the authors’ experience of using the NPWT installation system on the lower limb wounds after fasciotomy in ACS. Materials and Methods: This is a retrospective study enrolled consecutive patients with ACS, who underwent fasciotomy and was treated with the NPWT installation system at Department of Vascular Surgery, Provincial Hospital in Kielce from April 2016 to July 2017. Results: The study enrolled 15 patients with a diagnosis of ACS (87% men, mean age 65 years old). An open four-compartment fasciotomy (87%) or two-compartment fasciotomy (13%) was performed. The NPWT was applied on the first day after fasciotomy in 87% of patients. Therapy was initiated by the negative pressure of 125 mm Hg, which maintained at this level until the therapy was finalized. In 80% of patients, the vacuum-assisted wound closure (VAC) dressing changes were performed every 3 days. The first approximation of fasciotomy wounds margins occurred on the 4th day after surgery among 67% of individuals. The average time of using VAC on fasciotomy wounds was 9 days. The average time to definitive closure edges of fasciotomy wounds was 12 days. The average time of hospital stay was 17 days. Conclusions: Our experience indicates the legitimacy of using NPWT in wound treatment after fasciotomy in ACS. The NPWT enables faster primary closure of wounds, reduces edema, as well as decreases hospitalization time.

show abstract

Fasciotomy closure using negative pressure wound therapy in lower leg compartment syndrome

Cited by 9 publications

References 14 publications

Comparison of dermatotraction and negative pressure wound therapy for closure of cruris fasciotomy after 2023 Kahramanmaras earthquake

Comparison of dermatotraction and negative pressure wound therapy for closure of cruris fasciotomy after 2023 Kahramanmaras earthquake

Closure of Complex Wounds by a Simple Skin Stretching System Associated With Vacuum Sealing Drainage—Clinical Outcome of 34 Patients

Using Negative Pressure Wound Therapy in the Treatment of Wounds After Fasciotomy in Acute Compartment Syndrome - Retrospective Case Series Study

Contact Info

Product

Resources

About