Vacuum-Assisted Wound Closure for Cheaper and More Comfortable Healing of Pressure Sores: A Prospective Study

Evaluation of the use of vacuum-assisted closure (VAC) and platelet-rich plasma gel (PRP) in management of complex wounds

“…In a two-group study, 11 patients each, VAC (dressings were changed after 2-7 days) was compared to Ringer soaked gauze using wet-to-dry/wet-to-wet technique (dressings were changed three times per day). There was no significant difference between the two groups for all time periods regarding the time required to complete healing [21]. On the other hand, McCallon et al [14] indicated that diabetic neurotrophic foot wounds treated with VAC healed faster than wounds treated with saline-moistened gauze dressings (23 versus 43 days).…”

Debridement of Chronic Wounds

“…26 No difference was found between the NPWT group and the conventional moist-gauze group. It was also noted that each method was effective in forming granulation tissue.…”

“…[21][22][23][24][25][26] The first, published in 2000, examined the time to satisfactory healing and the change in wound surface area among the two modalities in the healing of surgically debrided diabetic foot wounds. 22 Results showed that satisfactory healing, calculated from the date of initial debridement to the date of definitive closure, was achieved in approximately half the time in the NPWT group, and a decrease in wound surface area was seen in the NPWT group compared with an increase in wound surface area in the saline-moistened gauze group.…”

Der Stand der Vakuumversiegelung

“…Auch ist eine so genannte Überbrückungsfunktion bis zur plastischen Deckung möglich [29]. Die wundkonditionierenden Effekte mit dem Aufbau von Granulationsgewebe zur Defektdeckung/Narbenbildung oder anschließenden plastischen Versorgung sind für chronische Wunden neben der Ursachenbeseitigung entscheidende Vorteile [1,2,7,9,15,19,21,31].…”