#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

V.A.C. therapy in the treatment of soft-tissue defects


Authors: P. Dráč;  J. Fialová;  B. Zálešák;  M. Molitor;  Z. Mrozek;  P. Sedlák
Authors‘ workplace: Primář: doc. MUDr. Igor Čižmář, Ph. D. ;  Traumatologické oddělení FN Olomouc
Published in: Prakt. Lék. 2008; 88(7): 413-416
Category: Case Report

Overview

V.A.C. (vacuum assisted closure) is a new treatment method for problematic wound management, including for the soft-tissue damage of open fractures. It works on the principle of the creation of negative pressure in the wound. The negative pressure continuosly removes the interstitial fluid, reduces bacterial colonization and allows for the rapid formation of granulation tissue. This substantially reduces the time needed for granulating bed preparation for definitive wound coverage and the overall treatment time.

Key words:
V.A.C. therapy, open fractures, soft-tissue defect, wound healing.


Sources

1. Argenta, L.C., Morykwas, M.J. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann. Plastic. Surg. 1997, 38, 6, p. 563-576.

2. Bém, R., Fejfarová, V., Jirkovská, A. Terapie syndromu diabetické nohy pomocí řízeného podtlaku (V.A.C. – Vacuum Assisted Closure). Praktický lékař 2006, 86, 5, s. 268-270.

3. Falanga, V. Growth factors and chronic wounds: the need to understanding microenvironment. J. Dermatol. 1992, 19, 11, p. 667-672.

4. Godina, M. Early microsurgical reconstruction of complex trauma of the extremities. Plast. Rec. Surg. 1986, 78, 3, p. 285-292.

5. Greer, S., Kasabian, A., Thorne, C. et al. The use of a subatmospheric pressure dressing to salvage a Gustilo grade IIIB open tibial fracture with concomitant osteomyelitis to avert a free flap. Ann. Plast. Surg. 1998, 41, 6, p. 687.

6. Gustilo, R.B., Mendoza, R.M., Williams, D.N. Problems with the management of type III (severe) open fractures. J. Trauma 1984, 24, 8, p. 742-746.

7. Hoskovec, D., Antoš, F. Novější možnosti chirurgické léčby. Praktický lékař 2007, 87, 11, s. 654-658.

8. Labler, L., Keel, M., Trentz, O. Vacuum-Assisted Closure (V.A.C.®) for temporary coverage of soft-tissue injury in type III open fractures of lower extremities. Eur. J. Trauma 2004, 30, 5, p. 305-312.

9. Lange, R.H. Limb reconstruction versus amputation decision making in massive lower extremity trauma. Clin. Orthop. 1989, 243, p. 92-99.

10. Mooney, J.F. III., Argenta, L.C., Marks, M.W. et. al. Treatment of soft tissue defects in paediatric patients using V.A.C.TM system. Clin. Orthop. 2000, 376, p. 26-31.

11. Morykwas, M.J., Argenta, L.C., Shelton-Brown, E.L. Vaccum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation. Ann. Plast. Surg. 1997, 38, 6, p. 553-562.

12. Olenius, M., Dalsgaard, C.J., Wickman, M. Mitotic activity in expanded human skin. Plast. Reconstr. Surg., 1993, 91, 2, p. 213- 216.

13. Prokuski, L. Negative pressure dressing for open fracture wounds. Iowa Orthop. Journal 2002, 22, 1, p. 20-24.

14. Urschel, J.D., Scott, P.G., Williams, H.T.G. The effect of mechanical stress on soft and hard tissue repair: a review. Br. J. Plast. Surg. 1988, 41, 2, p. 182-186.

15. Wysocki, A.B., Staiano-Coico, L., Grinnell, F. Wound fluid from chronic leg ulcers contains elevated levels of metalloproteinases MMP-2 and MMP-9. J. Incest. Dermatol. 1993, 101, 1, p. 64-68.

Labels
General practitioner for children and adolescents General practitioner for adults
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#