THERAPEUTIC OUTCOME OF VACUUM ASSISTED CLOSURE (VAC) DRESSING THERAPY FOR THE MANAGEMENT OF NON-HEALING NON TRAUMATIC & TRAUMATIC WOUND

Dr.Nitin M Parmar, Dr. Nirav Agrawal, Dr.Shashank Sharma

Abstract


INTRODUCTION- Wound healing is a complex, dynamic process and delayed wound healing significant health problem in India.Various type of
surgical methods have been developed for wound healing such as Advanced Wound Care Therapies(AWCT),Myo cuteneous or fascio cuteneous
tissue transfer, Standard dressing Therapy,etc. VAC therapy is non invasive therapy using for management of large chronically infected wounds
more recently used in treatment of traumatic wounds and delayed healing wounds.
AIM- Aim of this study is to evaluate functional outcome of vaccum-assisted closure(VAC) dressing therapy for management of non healing
traumatic & non traumatic wounds.
MATERIAL & METHOD- Our study was conducted in 100 patients in civil hospital,Ahmedabad from June 2018 to June 2019.Out of 100
patients,50 patients are male and 50 are female.mean age ranging from 20 to 60 years.VAC dressing therapy applied for non healing non traumatic
wound and traumatic wound.
RESULTS- Out of 100 wounds taken in the study,90 patients showed reduction in wound surface area.56 patients underwent split thickness skin
grafting,20 patients developed secondary wound healing,4 patients were taken for flap closure.10 patients showed failure of response later on
subjected to redebridemnt or Amputation.
DISCUSSION- In our study,44% patients showed granulation after 3rd day,72% after 6th day,90% after 9th day.Our study showed that VAC
dressing therapy increases the vascularity and rate of granulation tissue formation compared to standard wound dressing therapy.
CONCLUSION- VAC dressing provides sterile and controlled envioment to large wound surface by controlled application of sub atmospheric
pressure and prepares wound for closure through split thickness skin grafting and secondary closure in short time leading to less overall morbidity
with decresed hospital stay.


Keywords


Vaccum assisted closure(VAC), trumatic and non traumatic wound, non healing wounds

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References


Joseph E, Hamori CA, Bergman S, Roaf E, Swann NF, Anastasi GW. “A prospective randomized trial of vacuum-assisted closure versus standard therapy of chronic nonhealing wounds,” Wounds. 2000; 12(3):60- 67,

Joseph E, Hamori CA, Bergman S, Roaf E, Swann NF, Anastasi GW. A prospective randomized trial of vacuumassisted closure versus standard therapy of chronic nonhealing wounds, Wounds. 2000; 12(3):60-7.

Yaremchuk MJ. Concepts in soft tissue management,” in Lower Extremity Salvage and Reconstruction. Orthopaedic and Plastic Surgical Management, M. J. Yaremchuk, A. R. Burgess, and R. J. Brumback, Eds Elsevier Science, New York, NY, USA, 1989, 95-106,

Fleischmann W, Strecker W, Bombelli M, Kinzl L. Vacuum sealing as treatment of soft tissue damage in open fractures. Unfallchirurg. 1993; 96:488-92.

Morykwas MJ, Argenta LC. Vacuum-assisted closure: anew method for wound control and treatment: clinical experience. Annals of Plastic Surgery. 1997; 38(6):563- 77.

Singh M, Singh R, Singh S, Pandey V, Singh D. Vacuum assisted closure in wound management – Poor man’s VAC. Int J Plast Surg. 2008, 6

Kumar P. Exploiting potency of negative pressure in wound dressing using limited access dressing and suction-assisted dressing. Indian J Plast Surg. 2012; 45:302-15.


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