Titre du document / Document title

Vacuum-assisted closure : A new method for wound control and treatment : Clinical experience. Discussion

Auteur(s) / Author(s)

ARGENTA L. C. ⁽¹⁾ ; MORYKWAS M. J. ⁽¹⁾ ; ERIKSSON E. (Commentateur) ⁽²⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Department of Plastic and Reconstructive Surgery, Bowman Gray School of Medicine, Winston-Salem, NC, ETATS-UNIS
⁽²⁾ Division of Plastic Surgery, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, ETATS-UNIS

Résumé / Abstract

Despite numerous advances, chronic and other difficult-to-manage wounds continue to be a treatment challenge. Presented is a new subatmospheric pressure technique: vacuum-assisted closure (The V.A.C.). The V.A.C. technique entails placing an open-cell foam dressing into the wound cavity and applying a controlled subatmospheric pressure (125 mmHg below ambient pressure). Three hundred wounds were treated: 175 chronic wounds, 94 subacute wounds, and 31 acute wounds. Two hundred ninety-six wounds responded favorably to subatmospheric pressure treatment, with an increased rate of granulation tissue formation. Wounds were treated until completely closed, were covered with a split-thickness skin graft, or a flap was rotated into the healthy, granulating wound bed. The technique removes chronic edema, leading to increased localized blood flow, and the applied forces result in the enhanced formation of granulation tissue. Vacuum-assisted closure is an extremely efficacious modality for treating chronic and difficult wounds.

Revue / Journal Title

Annals of plastic surgery   ISSN 0148-7043   CODEN APCSD4 

Source / Source

1997, vol. 38, n^o6, pp. 563-577 (31 ref.)

Langue / Language

Anglais

Editeur / Publisher

Lippincott Williams & Wilkins, Hagerstown, MD, ETATS-UNIS  (1978) (Revue)

Mots-clés anglais / English Keywords

Suturation ; Plastic surgery ; Treatment ; Wound ; Skin ; Flap (surgery) ; Vacuum technique ; Method ; Efficiency ; Human ; Surgery ; Trauma ;

Mots-clés français / French Keywords

Suture chirurgicale ; Chirurgie plastique ; Traitement ; Plaie ; Peau ; Lambeau ; Technique vide ; Méthode ; Efficacité ; Homme ; Chirurgie ; Traumatisme ;

Mots-clés espagnols / Spanish Keywords

Sutura quirúrgica ; Cirugía plástica ; Tratamiento ; Herida ; Piel ; Colgajo ; Técnica vacío ; Método ; Eficacia ; Hombre ; Cirugía ; Traumatismo ;

Localisation / Location

INIST-CNRS, Cote INIST : 18346, 35400006182910.0020