Negative Pressure Wound (VAC) Therapy

2006 ◽  
pp. 360-363 ◽  
Author(s):  
David G. Armstrong ◽  
Andrew J. M. Boulton
Keyword(s):  
Negative Pressure ◽  
Vac Therapy

Negative-Pressure Vacuum Therapy for High-Output Chyle Leak Following Neck Dissection

2020 ◽  
Vol 15 (5) ◽  
pp. 481-483
Author(s):  
Guy Pines ◽  
Liron Malka Yosef ◽  
Li Or Lazar ◽  
Ilan Bar ◽  
Doron Schindel
Keyword(s):  
Effective Treatment ◽  
Neck Dissection ◽  
Negative Pressure ◽  
Vacuum Therapy ◽  
High Morbidity ◽  
Chyle Leak ◽  
Surgical Interventions ◽  
Vac Therapy ◽  
Chyle Fistula ◽  
High Output

Chyle fistula is a challenging complication following neck dissection carrying a high morbidity and mortality rate. Herein we present a challenging case of successful management of high-output left-sided cervical chyle fistula with negative-pressure vacuum (VAC) therapy in a case where all conservative treatments failed. A 40-year-old man with lymphoma and supraglottic carcinoma underwent endoscopic resection and bilateral neck dissections. He developed high-output chyle fistula, nonresponsive to conservative treatments. Double-layered Vicryl mesh was placed between the sponge and the jugular vein to prevent vascular injury. Immediately after initiation of the VAC therapy, the output decreased, and completely stopped after 3 days. The VAC therapy was continued for additional 5 days to ensure complete seal of the fistula by granulation tissue, by which time the wound was primarily closed. VAC therapy seems to be a safe and effective treatment for high-output cervical chyle fistula following neck dissection, avoiding complex surgical interventions. Thoracic surgeons should be aware of this low-morbidity and potentially effective treatment modality for this challenging complication.

scholarly journals Treatment of purulent-inflammatory complications in a combat gunshot trauma

2019 ◽  
Vol 41 part 3 (2) ◽  
pp. 34-39
Author(s):  
O. O. Fomin ◽  
V. P. Kovalchuk ◽  
N. S. Fomina ◽  
M. D. Zheliba ◽  
Oleksandr Dobrovanov ◽  
...  
Keyword(s):  
Hydrogen Peroxide ◽  
Negative Pressure ◽  
Gunshot Wound ◽  
Clinical Group ◽  
Negative Pressure Therapy ◽  
Pressure Therapy ◽  
Gram Negative ◽  
Vac Therapy ◽  
The Third ◽  
Hospitalization Period

Purpose of the study. Justification of the effective treatment tactics of the wounded with the gunshot fractures of the long bones.Materials and methods. The examination and treatment of 123 wounded with gunshot fractures were performed. All wounded were divided into 3 groups according to clinical observation. For the first clinical group the traditional treatment of the combat fractures with osteometallosynthesis out of injury zone was done. In the second group, treatment was added with negative pressure therapy. In the third clinical group Wounded got a VAC-associated therapy with the proposed of counter-drainage of wounds with the flow-washing irrigation with antiseptic solutions Decasan + 3% hydrogen peroxide. A bacteriological study of the wounds` exudates was carried out, and the sensitivity of microorganisms to antibiotics was determined.Results. The assay of microbiological investigation of the wounds of patients, which got explosive and mine-explosive injuries, demonstrated a predominance gram-negative microflora in the wound microbiocenoses such as Acinetobacter spp. (53% of cases) and Pseudomonas spp. (15% of cases). Gram-positive cocci were isolated from 22,2% of cases. The analysis of the antibiotic sensitivity data of gram-negative non-fermentative rods showed a high level of resistance to most antibacterial. All strains of acinetobacteria and pseudomonads were susceptible to polymyxin B and colistin, but resistant to unprotected and protected aminopenicillins (amoxicillin/clavulanate, ampicillin/sulbactam). Acceleration of regenerative processes in the wound under the influence of VAC-therapy (formation of healthy granulations, disappearance of edema) in patients with negative pressure suppression (II HS, III HS) led to a reduction of hospitalization period, which took in average 7,8 ± 1,2 days, that was 5,2 ± 0,8 days less than in a control group. In the third group of wounded, a mixture of Decasan and 3% hydrogen peroxide in the proportion of 3 : 1 was used for rinsing of wounds. On the third day tissue edema decreased in 94,45% of the wounded in that observation group, while in the second clinical group it was observed in 88,89% of patients. The duration of the hydration phase in the wound process was reduced to 5,7 days. The period of complete healing of the wounds was shorter for 2,5 days. The period of indoor stay of the wounded of this group in the hospital decreased from 14,97 to 10,8 days.Conclusions. Prevalence of gram-negative microorganisms in a gunshot wound and their high degree of resistance to antibiotics should be noticed when one takes a decision about empirical antibiotic therapy in the wounded. Observed clinical results of the proposed negative pressure therapy with counter-drainage of wounds by setting of flow-washing irrigation with a mixture of antiseptics Decasan and 3% hydrogen peroxide allow recommending this scheme for treatment of wounded with gunshot fractures of long bones.Keywords: Gunshot wound, antiseptics VAC-therapy.

scholarly journals Cost Effectiveness of Vacuum-Assisted Closure and Its Modifications: A Review

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Akhlak Hussain ◽  
Kuldip Singh ◽  
Mohinder Singh
Keyword(s):  
Cost Effectiveness ◽  
Negative Pressure ◽  
Cost Effective ◽  
General Category ◽  
Vacuum Assisted Closure ◽  
Pressure Therapy ◽  
Vac Therapy ◽  
Secondary Wound Healing ◽  
The Cost ◽  
Vacuum Assisted Closure Therapy

Negative topical pressure, the general category to which the trademarked VAC therapy belongs, is not a new concept in wound therapy. It is also called subatmospheric pressure therapy, vacuum sealing, vacuum-assisted closure therapy, vacuum pack therapy, and sealing aspirative therapy. The VAC therapy system is trademarked by Kinetic Concepts, Inc., or KCI. It was first reported in 1997. The aim of the procedure is to use negative pressure to create suction, which drains the wound of exudate (i.e., fluid, cells, and cellular waste that has escaped from blood vessels and seeped into tissue) and influences the shape and growth of the surface tissues in a way that helps healing. Negative-pressure therapy for the closure of wounds accelerates secondary wound healing. High cost is still a hindrance in its use in developing nations. Many modifications were tried, but their efficacy is yet to be proved. In reality, this method is quite cost effective. It is only the lack of understanding and adequate setup which makes this method hard to use. The main objective of this paper is to focus on the cost effectiveness of VAC and its modifications. We want to emphasize the importance of homemade NPT and the use of simple suction devices.

Vacuum-Assisted Closure Therapy for the Treatment of Poststernotomy Wound Dehiscence in Neonates and Infants

2017 ◽  
Vol 67 (01) ◽  
pp. 055-057
Author(s):  
Massimiliano Carrozzini ◽  
Vladimiro Vida ◽  
Giovanni Stellin ◽  
Massimo Padalino
Keyword(s):  
Negative Pressure ◽  
Pediatric Patients ◽  
Wound Dehiscence ◽  
Vacuum Assisted Closure ◽  
Median Length ◽  
Vac Therapy ◽  
Length Of Treatment ◽  
Sternal Wound Dehiscence ◽  
Neonates And Infants ◽  
Vacuum Assisted Closure Therapy

AbstractWe sought to analyze effectiveness and results of a vacuum-assisted closure system for the treatment of sternal wound dehiscence in newborns and children after cardiac surgery in our institution. Six patients with poststernotomy wound problems (large defects of epithelialization or mediastinitis) were treated with a vacuum-assisted closure (VAC) therapy. Median age was 5 months (range: 1–144); VAC therapy was started with negative pressure −75 mm Hg, continuously. All children achieved healing of the sternal wound and a subsequent closure after a median length of treatment of 8.3 days (range: 4–14). In conclusion, VAC therapy with high negative pressure is safe, effective, and is a well-tolerated therapy in pediatric patients with either early- or late poststernotomy wound dehiscence.

Blood Flow, Negative Pressure, and Hemolysis During Hemodialysis

1999 ◽  
Vol 3 (1) ◽  
pp. 45-50
Author(s):  
Zbylut J. Twardowski ◽  
Jimmy D. Haynie ◽  
Harold L. Moore
Keyword(s):  
Blood Flow ◽  
Negative Pressure

Negative pressure therapy – How many dressing changes are enough?

2012 ◽  
Vol 60 (S 01) ◽  
Author(s):  
S Raab ◽  
T Weimann ◽  
W Sienel ◽  
L Lampl ◽  
M Beyer
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Therapy ◽  
Pressure Therapy

Prevention of poststernotomy wound infections in obese patients by negative pressure wound therapy

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
O Grauhan ◽  
A Navasardyan ◽  
M Hofmann ◽  
P Müller ◽  
J Stein ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Obese Patients ◽  
Wound Infections ◽  
Wound Therapy
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