Vacuum assisted closure technique: a short review

Yadav, Sankalp; Rawal, Gautam; Baxi, Mudit

doi:10.11604/pamj.2017.28.246.9606

Cited by 35 publications

(23 citation statements)

References 34 publications

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“…Negative pressure wound therapy is used more and more in the last two decades for wound healing. The principal indications for using NPWT are acute and traumatic lesions, dehisced incisions, stasis, diabetic or pressure ulcers, flaps and meshed grafts [7]. In NF application of NPWT is a vital step after the removal of the septic fascia together with the unhealthy tissue [8].…”

Section: Resultsmentioning

confidence: 99%

Negative Pressure Wound Therapy Using Polyurethane Foam in a Patient with Necrotizing Fasciitis

Avino¹,

Jecan²,

Cozma³

et al. 2018

Mat.Plast.

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Negative pressure wound therapy is one of the newest methods of treatment used in wound healing. An important role of the system has a foam dressing that connects the wound with the vacuum. In general the sponge used in vacuum assisted therapies is made of polyurethane foam. We present the case of a 51-year-old male patient with a history of deep vein thrombosis (known for about 3 years) diagnosed with necrotizing fasciitis (NF). In this patient, after each step of the surgical treatment (large debridement and skin grafting) negative pressure wound therapy using polyurethane foam was used.

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Section: Resultsmentioning

confidence: 99%

Negative Pressure Wound Therapy Using Polyurethane Foam in a Patient with Necrotizing Fasciitis

Avino¹,

Jecan²,

Cozma³

et al. 2018

Mat.Plast.

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“…Yadav et al have found better results with NPWT in managing chronically infected wounds compared with conventional technique [12]. Cozza et al conducted a prospective experimental study including more than 10 patients and found that NPWT is not a risk factor for health care personnel associated with the management of infections [13].…”

Section: Discussionmentioning

confidence: 99%

Negative Pressure Wound Therapy Assisted Closure: An Effective Mode of Management for Infected and Contaminated Wound With Non-Union Fracture Femur

Patro

Khuntia

Sahu

et al. 2020

Cureus

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High-energy open fractures are often associated with significant soft tissue damage and can have contamination. Infection of a fracture can be the most detrimental factor for fracture union. Control of infection and soft tissue coverage over exposed bone plays a vital role in its overall outcome. Negative pressure wound therapy (NPWT) assisted closure has depicted encouraging results for helping control of infection and wound closure. NPWT assisted closure promotes reduction of bacterial load in the wound, facilitates removal of secretion from the wound, promotes the formation of granulation tissue, and decreases wound size. We present a case of open fracture femur with severe infection and exposed bone. Along with infection and comminution of fracture, there was collection of necrotic tissue at the fracture site. Infection settled with debridement of wound and application of NPWT. With the application of NPWT, there was formation of granulation tissue and a decrease in wound size. The wound healed completely following application of secondary sutures. Any form of plastic procedures, such as muscle pedicle graft and split-thickness skin grafting, was not required for wound closure. NPWT-assisted closure is a promising mode of wound management in grossly infected wounds and obviates the need for further plastic procedures. The effect can be extrapolated to all open wounds with infection but must follow a thorough debridement and lavage.

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“…The sizes of soft tissue defects, reduced from 69.18 cm 2 to 50.73 cm 2 after VAC in their study. Yadav S et al proposed that this novel VAC technique helps in the management of difficult wounds [8]. It has always been a cause of concern for the treating clinicians and VAC delivers at par or better results as compared to the conventional techniques.…”

Section: Discussionmentioning

confidence: 99%

Negative Pressure Wound Therapy With Flap Reconstruction for Extensive Soft Tissue Loss in the Foot: A Case Report

Vellingiri

Nagakumar

Hongaiah

2020

Cureus

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Negative pressure wound therapy (NPWT) can create the healing granulation tissue that will form a wound bed for the skin graft, thereby reducing the volume of the soft tissue defect. The application of uniform negative pressure, which is delivered by vacuum-assisted closure (VAC) therapy, induces a physical response (macrostrain) and a biological response (microstrain). The patient in the current case report presented with an alleged history of a road traffic accident, sustaining a crush injury to his right heel pad, resulting in an open comminuted fracture of the right calcaneum with bone loss. A total of seven days of NPWT was allowed. Negative pressure sponge dressing was then applied in this region and adhesive drapes were sealed. Once sealed, suction was set at the continuous pressure of-125 mm Hg. The authors noted that the benefits significantly outweigh the costs of the VAC system, making it an essential treatment option for patients similar to the one presented in this case report.

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Vacuum assisted closure technique: a short review

Cited by 35 publications

References 34 publications

Negative Pressure Wound Therapy Using Polyurethane Foam in a Patient with Necrotizing Fasciitis

Negative Pressure Wound Therapy Using Polyurethane Foam in a Patient with Necrotizing Fasciitis

Negative Pressure Wound Therapy Assisted Closure: An Effective Mode of Management for Infected and Contaminated Wound With Non-Union Fracture Femur

Negative Pressure Wound Therapy With Flap Reconstruction for Extensive Soft Tissue Loss in the Foot: A Case Report

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