Negative pressure therapy for lower limb complex wounds

Negative pressure therapy for lower limb complex wounds Management of lower limb wounds can present challenge to reconstructive surgeon if options for reconstruction are limited. The situation worsens when such patients have co-morbidities like trauma to vital organs, diabetes mellitus, and generalized disorders which impair wound healing. Negative pressure wound therapy has gained popularity in the management of wounds in the last decade. We have used a modified form of commercially available V.A.C TM because of its high cost and universal unavailability. Fifty-eight patients with 61 complex wounds of the lower limb were included in the study over a period of 3 years. The average number of dressing changes was 3.2 and average duration from start of therapy till the wound was ready for coverage was 13.5 days. Fifty-seven wounds were skin grafted and four wounds were covered with local turnover flaps. We have found the modified vacuum dressing to be an effective technique for treating challenging wounds of the lower limb when options for reconstruction are limited. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Negative pressure therapy for lower limb complex wounds

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Publisher
Springer Journals
Copyright
Copyright © 2011 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-010-0485-6
Publisher site
See Article on Publisher Site

Abstract

Management of lower limb wounds can present challenge to reconstructive surgeon if options for reconstruction are limited. The situation worsens when such patients have co-morbidities like trauma to vital organs, diabetes mellitus, and generalized disorders which impair wound healing. Negative pressure wound therapy has gained popularity in the management of wounds in the last decade. We have used a modified form of commercially available V.A.C TM because of its high cost and universal unavailability. Fifty-eight patients with 61 complex wounds of the lower limb were included in the study over a period of 3 years. The average number of dressing changes was 3.2 and average duration from start of therapy till the wound was ready for coverage was 13.5 days. Fifty-seven wounds were skin grafted and four wounds were covered with local turnover flaps. We have found the modified vacuum dressing to be an effective technique for treating challenging wounds of the lower limb when options for reconstruction are limited.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jun 1, 2011

References

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