scholarly journals Successful Treatment of Anterior Tracheal Necrosis after Total Thyroidectomy Using Vacuum-Assisted Closure Therapy

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Grégory Philippe ◽  
Nicolas Pichon ◽  
Justine Lerat ◽  
Jean Bernard Amiel ◽  
Marc Clavel ◽  
...  
Keyword(s):  
Total Thyroidectomy ◽  
Granulation Tissue ◽  
Closure Device ◽  
Vacuum Assisted Closure ◽  
Good Opportunity ◽  
Vac Therapy ◽  
First Case ◽  
Adjacent Structures ◽  
Vacuum Assisted Closure Therapy ◽  
Ongoing Infection

Total thyroidectomy involving the adjacent structures of the trachea can cause tracheal damage such as early tracheal necrosis. The authors describe the first case of anterior tracheal necrosis following total thyroidectomy treated using vacuum-assisted closure device. After two weeks of VAC  therapy, there was no evidence of ongoing infection and the trachea was partially closed around a tracheotomy cannula, removed after 3 months. The use of a VAC  therapy to reduce and close the tracheal rent and to create a rapid granulation tissue over tracheal structure appeared as a good opportunity after anterior tracheal necrosis.

The Use of Vacuum-Assisted Closure Therapy for the Treatment of a Large Infected Facial Wound

2006 ◽  
Vol 72 (2) ◽  
pp. 129-131 ◽  
Author(s):  
Rob Schuster ◽  
Arash Moradzadeh ◽  
Kenneth Waxman
Keyword(s):  
Health Care Providers ◽  
Granulation Tissue ◽  
Chronic Wounds ◽  
Care Providers ◽  
Vacuum Assisted Closure ◽  
Vac Therapy ◽  
First Case ◽  
Facial Wound ◽  
The Face ◽  
New Treatment

Chronic wounds in difficult locations pose constant challenges to health care providers. Negative-pressure wound therapy is a relatively new treatment to promote wound healing. Laboratory and clinical studies have shown that the vacuum-assisted closure (VAC) therapy increases wound blood flow, granulation tissue formation, and decreases accumulation of fluid and bacteria. VAC therapy has been shown to hasten wound closure and formation of granulation tissue in a variety of settings. Accepted indications for VAC therapy include the infected sternum, open abdomen, chronic, nonhealing extremity wounds and decubitus ulcers. We report the first case of VAC therapy successfully used on a large infected wound to the face to promote healing.

Community-Associated Methicillin-Resistant Staphylococcus Aureus–Infected Chronic Scalp Wound With Exposed Dura in a 10-Year-Old Boy: Vacuum-Assisted Closure Is a Feasible Option: Case Report

Neurosurgery ◽  
2011 ◽  
Vol 68 (5) ◽  
pp. E1481-E1484 ◽  
Author(s):  
Ulrike Subotic ◽  
Wolfram Kluwe ◽  
Valérie Oesch
Keyword(s):  
Staphylococcus Aureus ◽  
Granulation Tissue ◽  
Pediatric Patients ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Chronic Wound ◽  
Bony Defect ◽  
Vacuum Assisted Closure ◽  
Methicillin Resistant ◽  
Vac Therapy ◽  
Mentally Disabled

Abstract BACKGROUND AND IMPORTANCE: Since the introduction of vacuum-assisted closure (VAC) in 1997, it has been used successfully in treating difficult wounds, including spinal wounds and wounds in pediatric patients. There are no reports on VAC therapy in pediatric patients on the scalp, especially with exposed dura. This report describes a 10-year-old boy with a chronic wound of the scalp with exposed dura after multiple neurosurgical interventions who was treated successfully with VAC. CLINICAL PRESENTATION: A 10-year-old mentally disabled boy with Apert syndrome suffered from a chronic wound with community-associated methicillin-resistant Staphylococcus aureus (MRSA) infection after multiple neurosurgeon operations. For wound closure, VAC therapy was initiated on the bony defect with exposed dura. The wound healed successfully, and the MRSA disappeared. CONCLUSION: The aims of VAC therapy are formation of new granulation tissue, wound cleansing, and bacterial clearance. In this case, the VAC device was excellent for temporary coverage of the defect and for wound cleaning, and it allowed a thick bed of granulation tissue to form over the dura, even with minimal constant negative pressure. The application and management were feasible even in a mentally disabled child. With this experience, we are encouraged to use the VAC device in difficult wounds, even in the head and neck area in children, and to bring this treatment into the outpatient clinic.

scholarly journals Successful Treatment of Driveline Infection with Vacuum-Assisted Closure Therapy and Instillation Therapy

2020 ◽  
Vol 09 (01) ◽  
pp. e29-e32
Author(s):  
Juliane Kilo ◽  
Julia Dumfarth ◽  
Daniel Höfer ◽  
Michael Grimm
Keyword(s):  
Local Therapy ◽  
Left Ventricular ◽  
Vacuum Assisted Closure ◽  
Assist Device ◽  
Ventricular Assist ◽  
Vac Therapy ◽  
Instillation Therapy ◽  
Left Ventricular Assist ◽  
Driveline Infection ◽  
Vacuum Assisted Closure Therapy

Abstract Background Driveline infection is a serious complication in left ventricular assist device (LVAD) patients. We report the case of a patient who was successfully treated by combining instillation and vacuum-assisted closure (VAC) therapy. Case Description A 65-year-old LVAD patient presented with recurrent driveline infection. Local therapy with VAC therapy in combination with instillation of polyhexanide was performed for 2 weeks. The patient remains free from infection for twelve months by now. Conclusion This case is the first to present the combination of polyhexanide instillation with VAC as treatment for driveline infection. This therapy may thus be an option for patients who lack any other surgical option.

scholarly journals Comparison of vacuum assisted closure therapy with conventional dressing in the management of necrotizing fasciitis wound

2021 ◽  
Vol 8 (12) ◽  
pp. 3587
Author(s):  
Birbal Kumar ◽  
R. S. Mohil ◽  
Sajith K. Mohan ◽  
Navnik Singh Bhardwaj ◽  
Arush Pasricha ◽  
...  
Keyword(s):  
Necrotizing Fasciitis ◽  
Granulation Tissue ◽  
Skin Grafting ◽  
Tissue Formation ◽  
Vacuum Assisted Closure ◽  
Granulation Tissue Formation ◽  
Vac Therapy ◽  
Control Frequency ◽  
Group A ◽  
Group B

Background: The purpose of our study was to compare the effect of vacuum assisted closure (VAC) therapy and conventional dressings in patients with open wounds due to necrotizing fasciitis (NF) on the basis of healing rate, infection control, frequency of dressing and pain score.Methods: The study evaluated 50 patients admitted with NF requiring surgery over a period      of 18 months.  The patients were randomized to two groups. In group A patients, the wounds were managed with conventional dressings and in group B patients, negative pressure wound therapy (NPWT) was applied. Serial assessment of both groups was done for four weeks. The parameters including size of wound, wound bed, granulation tissue formation, color, amount and odor of exudate, edema, frequency of dressing, re-debridement and pain were monitored and analysed.Results: In our study, patients with NF wounds who underwent VAC therapy had earlier granulation tissue formation, resolution of infection and readiness for skin grafting. The frequency of dressing, requirement of re-debridement, resolution of edema, odor, skin maceration, inflammation around wound and pain significantly reduced in group B (VAC) when compared to conventional dressing group.Conclusions: When compared to the conventional dressing on NF wound, application of VAC helped in early appearance of granulation tissue, significant reduction of inflammation, wound odor, exudate, need for re-debridement, frequency of dressing and pain. Thus, VAC dressing can be considered as a better option in the management of NF wounds.

Vacuum-Assisted Wound Closure Therapy in Pediatric Lower Limb Trauma

2019 ◽  
Vol 18 (3) ◽  
pp. 317-322 ◽  
Author(s):  
Mohammed Fahud Khurram ◽  
Sheikh Sarfraz Ali ◽  
Mohammad Yaseen
Keyword(s):  
Soft Tissue ◽  
Granulation Tissue ◽  
Lower Limb ◽  
Wound Closure ◽  
Pediatric Patients ◽  
Adult Population ◽  
Definitive Treatment ◽  
Closure Device ◽  
Vac Therapy ◽  
Wound Debridement

Although the importance of vacuum-assisted wound closure therapy has been well established as road to definitive treatment of trauma wound in the adult population, its use in pediatric patients is not well described in the literature. This study was conducted to evaluate the outcome of vacuum-assisted wound closure therapy in pediatric patients. Twenty-two patients were prospectively treated for soft tissue defect in lower limb using vacuum-assisted wound closure device, as these wounds were not amenable for primary closure. After wound evaluation, thorough wound debridement was done. Vacuum-assisted wound closure dressing was applied once hemostasis was achieved. Dressings were changed as per protocol. After the development of healthy granulation tissue, wound coverage was achieved with skin graft or flaps. Mean age of patients was 9.455 years, ranging from 4 to 14 years. Early, healthy granulation tissue had formed in all patients. The average number of vacuum-assisted closure (VAC) dressings required was 2.682. Average duration of VAC therapy was 8.045 days. The sizes of soft tissue defects reduced from an average 69.18 cm2 to 50.73 cm2 after VAC therapy with a mean decrease of 26.66%. There was no complication because of VAC therapy. Vacuum-assisted wound closure therapy accelerated the process of healthy granulation tissue formation, and thus shortened the healing time. VAC therapy lessens the morbidity and pain associated with large wounds in pediatric patients and brings cheer and smile in growing children.

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.

scholarly journals Outcome analysis of vacuum assisted closure application in open fractures of long bones

2017 ◽  
Vol 4 (1) ◽  
pp. 146
Author(s):  
Mangesh M. Chandewar ◽  
Saurabh Singh ◽  
Rupesh Jung
Keyword(s):  
Hospital Stay ◽  
Granulation Tissue ◽  
Soft Tissue Defect ◽  
Outcome Analysis ◽  
Prospective Analysis ◽  
Vacuum Assisted Closure ◽  
Wound Therapy ◽  
Vac Therapy ◽  
Flap Coverage ◽  
Rapid Formation

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">We performed a prospective analysis<strong> </strong>to<strong> </strong>compare the efficacy of the<strong> </strong>vacuum assisted<strong> </strong>closure (VAC therapy)<strong> </strong>and conventional cotton<strong> </strong>gauze<strong> </strong>dressing of<strong> </strong>wounds.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">The study was conducted from July 2014 to<strong> </strong>June 2016 on<strong> </strong>patients admitted from<strong> </strong>emergency department or presenting in the outpatient department of<strong> </strong>the hospital. Necrotic tissues were debrided before applying VAC therapy. Dressings were changed every 3 or 4 days. For standard wound therapy, debridement followed by daily dressings was done. All patients<strong> </strong>were<strong> </strong>reconstructed with SSG/FLAP coverage after the granulation tissue was<strong> </strong>sufficient. Two groups of 10 each compared prospectively. Data<strong> </strong>were collected for<strong> </strong>age, sex, time needed for sufficient granulation tissue for coverage, length of<strong> </strong>hospital stay, no of debridements for VAC application and conventional gauze<strong> </strong>dressings</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Time needed<strong> </strong>to have a good<strong> </strong>granulation<strong> </strong>tissue sufficient for coverage, length of<strong> </strong>stay in<strong> </strong>hospital, and<strong> </strong>no<strong> </strong>of<strong> </strong>debridements<strong> </strong>were<strong> </strong>significantly<strong> </strong>less in<strong> </strong>VAC<strong> </strong>group. No major<strong> </strong>complication occurred that<strong> </strong>was<strong> </strong>directly<strong> </strong>attributable to<strong> </strong>treatment. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Vacuum assisted wound therapy was found to facilitate the rapid formation of healthy granulation tissue on open musculoskeletal<strong> </strong>injuries, shortens<strong> </strong>hospital stay and minimize secondary soft tissue defect coverage procedures.</span></p><p> </p>

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.

scholarly journals Endoscopic Vacuum-Assisted Closure Therapy in Patients with Anastomotic Leakage after Esophagectomy: A Single-Center Experience

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Soo Min Noh ◽  
Ji Yong Ahn ◽  
Jeong Hoon Lee ◽  
Hwoon-Yong Jung ◽  
Zeead AlGhamdi ◽  
...  
Keyword(s):  
Anastomotic Leakage ◽  
Median Duration ◽  
Surgical Repair ◽  
Esophageal Diverticulum ◽  
Vacuum Assisted Closure ◽  
Vac Therapy ◽  
Single Center Experience ◽  
Proper Patient Selection ◽  
Postoperative Leakage ◽  
Vacuum Assisted Closure Therapy

Aim. To study the efficacy of E-VAC therapy for patients with anastomotic leakage after esophagectomy. Methods. Between January 2013 and April 2017, 12 patients underwent E-VAC therapy for the management of postoperative leakage. Their clinical features and endoscopic procedure details, therapy results, adverse events, and survival were investigated. Results. All 12 patients were male and the median age was 57 years (interquartile range 51.5–62.8 years). The reasons for esophageal surgery were esophageal cancer (83.3%), gastrointestinal stromal tumor (8.3%), and esophageal diverticulum (8.3%). Prior to E-VAC therapy, 6 patients had undergone failed primary surgical repair and the median duration from esophagectomy to leakage discovery was 13.5 days (IQR 6–207 days). The median duration of E-VAC therapy was 25 days (IQR 13.5–34.8 days) and the average sponge exchange rate was 2.7 times during the treatment period. After E-VAC therapy, 8 patients (66.7%) had complete leakage closure, 3 (25%) had a decreased leakage size, and 1 (8.3%) was unchanged. The three patients with a decreased leakage size after E-VAC therapy were treated with endoscopic and conservative management without further surgery. Conclusion. With proper patient selection, E-VAC therapy is a feasible and safe method for the treatment of anastomotic leakage after esophagectomy.

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