The Vacuum Assisted Closure Device

Scherer, Lynette A.; Shiver, Stephen A.; Chang, Michael; Meredith, J. Wayne; Owings, John T.

doi:10.1001/archsurg.137.8.930

Cited by 247 publications

(46 citation statements)

References 15 publications

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“…The extensive studies on the established use of the VAC technique in the wound-healing phase of granulation have resulted in guidelines that recommend VAC therapy in acute and chronic wounds [7,8,9,10,11,12], burns [13], diabetic ulcers [14, 15] as well as open foot wounds [16], vasculitis- or occluding vasculopathy-induced ulcers [17]. However, there have been very few reports on the postoperative application of VAC therapy [18, 19].…”

Section: Discussionmentioning

confidence: 99%

“…However, details concerning the objective criteria for determining a successful take as well as the exact time of evaluation were not provided. Scherer et al[ 13] demonstrated the advantage of postoperative VAC therapy over bolster dressing in burn patients and patients with traumatic injuries. In the VAC-treated group, repeated transplantations were clearly less frequent, whereas the side effects of both treatments were similar [13].…”

Section: Discussionmentioning

confidence: 99%

“…Scherer et al[ 13] demonstrated the advantage of postoperative VAC therapy over bolster dressing in burn patients and patients with traumatic injuries. In the VAC-treated group, repeated transplantations were clearly less frequent, whereas the side effects of both treatments were similar [13]. Carson et al [18] treated 70 patients suffering from different types of wounds larger than 14 cm 2 .…”

Section: Discussionmentioning

confidence: 99%

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Vacuum Assisted Closure Device Improves the Take of Mesh Grafts in Chronic Leg Ulcer Patients

et al. 2008

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Background: Vacuum assisted closure (VAC) is established in the management of acute and chronic wounds. In recent years, few data have been published concerning VAC therapy after skin graft transplantation. Objectives: The aim of this study was to determine whether postoperative VAC helps assist closure of mesh grafts in chronic leg ulcer patients. Patients/Methods: We report a consecutive case series of 54 patients with chronic leg ulcers who received a total of 74 mesh grafts. A postoperative VAC therapy was performed in 28 mesh grafts, and 46 mesh grafts were treated with standard gauze therapy. Results: In the VAC group, 92.9% of grafts showed complete healing, compared to 67.4% in the control group without postoperative VAC therapy. Differential analysis revealed a negative correlation of the take rate in patients over 70 years of age or in patients suffering from diabetes mellitus or dermatoliposclerosis. Particularly patients with diabetes mellitus and of greater age exhibited improved take rates, both 100%, in the VAC group compared to 50 and 62%, respectively. Conclusion: The results of our retrospective study demonstrate for the first time the significant benefit of VAC therapy after skin grafting in chronic leg ulcer patients as evaluated in a clinical trial.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Vacuum Assisted Closure Device Improves the Take of Mesh Grafts in Chronic Leg Ulcer Patients

et al. 2008

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“…[10] as seen in our study while Llanos et al .,[3] Scherer et al . [11] and Kamolz et al . [12] reported the use of NPWT over graft mostly in burns.…”

Section: Discussionmentioning

confidence: 99%

Role of customised negative-pressure wound therapy in the integration of split-thickness skin grafts: A randomised control study

Mohsin

Zargar

Wani

et al. 2017

Indian J Plast Surg

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Background:Split-thickness skin grafting (STSG) is a time-tested technique in wound cover, but many factors lead to suboptimal graft take. Role of custom-made negative-pressure wound therapy (NPWT) is compared with conventional dress in the integration of STSG and its cost is compared with widely used commercially available NPWT.Materials and Methods:This is a parallel group randomised control study. Block randomisation of 100 patients into one of the two groups (NPWT vs. non-NPWT; 50 patients each) was done. Graft take/loss, length of hospital stay post-grafting, need for regrafting and cost of custom-made negative pressure wound therapy (NPWT) dressings as compared to widely used commercially available NPWT were assessed.Results:Mean graft take in the NPWT group was 99.74% ± 0.73% compared to 88.52% ± 9.47% in the non-NPWT group (P = 0.004). None of the patients in the NPWT group required second coverage procedure as opposed to six cases in the non-NPWT group (P = 0.035). All the patients in the NPWT group were discharged within 4–9 days from the day of grafting. No major complication was encountered with the use of custom-made NPWT. Custom-made NPWT dressings were found to be 22 times cheaper than the widely used commercially available NPWT.Conclusions:Custom-made NPWT is a safe, simple and effective technique in the integration of STSG as compared to the conventional dressings. We have been able to reduce the financial burden on the patients as well as the hospital significantly while achieving results at par with other studies which have used commercially available NPWT.

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“…We used the NPWT three times: after the initial debridement to keep the wound clean, after placement of ADM to prevent the adherences formation with the underlying tendons, and after grafting to speed the engraftment. NPWT improves the success rate of split-thickness skin grafts and reduces the rate of repeated grafting [10]. This effect is linked to several factors [11–14]: the uniform contact between the graft and the wound bed, the removal of wound fluid with prevention of hematoma or seroma formation under the graft, the reduced risk of infection, and the moist environment due to the occlusive nature of wound dressing that prevents the drying of the graft.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Traumatic Defect of the Lower Third of the Leg Using a Combined Therapy: Negative Pressure Wound Therapy, Acellular Dermal Matrix, and Skin Graft

Brongo

Pagliara

Campitiello

et al. 2014

Case Reports in Surgery

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The reconstruction of lower third of the leg is one of the most challenging problems for plastic and reconstructive surgeons and current approaches are still disappointing. We show an easy option to obtain a coverage of traumatic pretibial defects with good aesthetic and functional results: the association of negative pressure wound therapy, acellular dermal matrix, and skin graft. The choice of this combined therapy avoids other surgical procedures such as local perforator flaps and free flaps that require more operating time, special equipment, and adequate training.

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The Vacuum Assisted Closure Device

Cited by 247 publications

References 15 publications

Vacuum Assisted Closure Device Improves the Take of Mesh Grafts in Chronic Leg Ulcer Patients

Vacuum Assisted Closure Device Improves the Take of Mesh Grafts in Chronic Leg Ulcer Patients

Role of customised negative-pressure wound therapy in the integration of split-thickness skin grafts: A randomised control study

Reconstruction of Traumatic Defect of the Lower Third of the Leg Using a Combined Therapy: Negative Pressure Wound Therapy, Acellular Dermal Matrix, and Skin Graft

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