Electronic Vacuum Assisted Closure – An Advanced Wound Healing Technique

Vol 34 | Issue 1 | Jan – April 2019 | page: 8-9 | Tarun Khare, Anup Khare


Authors: Tarun Khare  [1], Anup Khare [2]

Address of Correspondence

Dr. Tarun Khare,
SRM medical college Hospital, Chennai
E-mail: tarun1589@gmail.com


Abstract

Background: It is a new way of advanced wound healing technology. High-velocity trauma causes grievous soft tissue injuries, which requires good soft tissue and bone management. EVAC is a method of soft tissue care. Fracture management is done by some suitable method.
Material And Method: This study was conducted at Rainbow Hospital Agra. 30 cases of roadside high-velocity trauma patients with gross soft tissue injuries and long bone fracture were included in this study. EVAC was applied to all these patients after stabilization of fracture by EX. FIX/Intramedullary fixation after surgical toilet and debrima. 110 mmHg intermittent negative pressure was observed to give best results. VAC unit was changed after 4 days or earlier if the container gets full. Final stabilization of fracture was done after healing of the wound. Skin grafting /secondary closure of the wound is done when required
Results: Its an excellent tool for wound healing. Patients felt very comfortable with no wound wetting and smell. Good, soft tissue healing support good fracture healing also. Out of 30 cases, 27 cases had excellent results. 2 patients lost follow-up, 1 developed infection. There was no mortality during the study period.
Conclusion: EVAC is the modern way of tissue healing. It can be applied in the hospital as well as at home. Most of the cases, require 3 to 4 VAC dressing at a minimal 4 days interval with a healthy wound. Further management of fracture and wound can be done as a primary wound.
Keywords: Vacuum-assisted closure, wound healing technique, high-velocity trauma


References

1-Fleischmann W et al: Vaccum sealing as treatment of soft tissue damage in open fractures
2-Morry Kwas et all 1990
3-Philbeck et al: Intermittent cycling results in Rhythmic perfusion of tissue
4-Muller: 45 pts study on Sacral ulcers.
5-Vacuum sealing: unfallchirurg 1993;96:488-492
6-Patterson et al: Mycosis 1990; 33:297-302
7-Ford CN et al: Interim analysis of prospective Randomized trial of vacuum-assisted closure vs. The health point system in the management of pressure ulcers point system in the management of pressure ulcers


How to Cite this Article:  Khare T, Khare A.  Electronic Vacuum Assisted Closure – An Advanced Wound Healing Technique. Journal of Bone and Joint Diseases Jan – Apr 2019;34(1):7-8.


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