Vacuum-assisted closure: indications and clinical experience

作者: M.Y. de Lange , R. A. Schasfoort , M. C. Obdeijn , J.F.A. van der Werff , J. P. A. Nicolai

DOI: 10.1007/S002380050244

关键词: Wound healingVacuum assisted closureUnderlying diseaseSurgerySoft tissueWound closureMedicineWound surfacePlastic surgerySurgical Wound Closure

摘要: The use of subatmospheric pressure to promote wound healing has gradually found support in the past few years. vacuum-assisted closure system uses a pump providing continuous negative preferably 125 mmHg, which is distributed over surface by an airtight covered foam. exact mechanisms vacuum therapy are not yet understood, but clinically soft tissue defects seem heal faster when applied. Our experience with first 100 patients different origin that were treated presented. In 29 patients, wounds healed without further surgical intervention, 53 underwent secondary and 11 required more than one procedure. Seven died due their underlying disease. Few complications seen. Vacuum sealing new therapeutic concept can precede sometimes replace closure.

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