Efficacy of VAC Suction in Traumatic & Non-traumatic Wound Infection Management
Keywords:
vacuum-assisted closure, topical negative pressure, traumatic and non-traumatic wounds.Abstract
ABSTRACT
Objective: To asses the efficacy of VAC suction in traumatic and non-traumatic wound infection management
Methods: This retrospective study was conducted on patients received as primary traumatic wounds or patients with chronic wound infections from January 2014 to December 2016.
Results: A total of 67 patients underwent VAC suction with traumatic and non-traumatic wound infection management including 49 (73.1%) males and 18 (26.9%) females. Mean age of patient was 41.5 (SD ±19.5 years) with a range of 10 to 80 years. Mean hospital stay was overall 12.7days (SD± 5.3), with range from 5-27 days.
In 35 patients (52%) showed no growth on culture and sensitivity (C/S), while 20 (30%) patients C/S showed Staphylococcus aureus, and very few patients showed Escherichia coli (1.5%), Klebsiella (3%) and Pseudomonas (4.5%) and other organisms (8.5%).
In 64 (95.5%) patients Vac suction Treatment achieved full eradication, while there were very few cases of reinfection (3%) and fulminant infection (1.5%).
Conclusion: Vacuum suction therapy proved to be very effective method in traumatic and non-traumatic wound infection including acute and chronic infections
References
2. J.A Haller. R.E. Billinggham. Studies of the origin of the vasculature in free skin grafts. Ann Surg. 1967 Dec; 166(6): 896–901.
3. Stahel PF, Mauffrey C. Post-traumatic osteomyelitis: an unresolved conundrum in orthopaedic trauma surgery. Euro J Trauma Emerg Sur. 2016 Aug:42(4); 395-6.
4. Li GQ FF, Ou Y, Dong GW, Zhou W. Epidemiology and outcomes of surgical site infections following orthopaedics surgery. Am J Infection Control.2013 Dec; 41:1268-71.
5. Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W. Vacuum assisted closure: a new method for wound control and treatment: animal studies and basics foundation. Ann Plast Surg, 1967 Jun;38(6).553-562.
6. Aryan S.P. Patmo, Pieta Krijnen, Wim E. Tuinebreijer, Roelf S. Breederveld. The Effect of Vacuum-Assisted Closure on the Bacterial Load and Type of Bacteria: A Systemic Review. Adv Wound Care (New Rochelle). 2014 May;3(5): 383–389.
7. P.E Banwell, L. Teotl. Topical Negative Pressure (TNP): the evolution of a novel wound therapy. J Wound care. 2003 Jan:12 (1).28-30.
8. Bovill E, Banwell PE, Teot L, Eriksson E, Song C, Mahoney J, et al. Topical negative pressure wound therapy: a review of its role and guidelines for its use in the management of acute wounds. Int Wound J 2008 Oct;5:511.
9. Susim Kumar. Mark E O'Donnell, Khalid Khan, Gillian Dunne, P Declan Carey, and Jack Lee. Successful treatment of perineal necrotising fasciitis and associated pubic bone osteomyelitis with the vacuum assisted closure system. World Journal of Surgical Oncology 2008 Jun;6:67.
10. Argenta LC, Morykwas MJ. Vacuum assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg. 1997 Jun; 38:563-76.
11. Argenta LC, Morykwas MJ Richards R. The use of negative pressure to promote healing of pressure ulcers and chronic wounds in 75 consecutive patients. Presented at the joint meeting of the wound healing society and European Tissue Repair Society; Amsterdam: 1993. Aug.
12. Antony S, Terrazas S. A retrospective study: clinical experience using vacuum-assisted closure in the treatment of wounds. J Natl Med Assoc. 2004 Aug; 96:1073-7.
13. Chen SZ, Li J, Li XY. Effects of vacuum-assisted closure on wound microcirculation: an experimental study. Asian J Surg. 2005 Jul;28:211-7.
14. Dodenhoff R.M., Howell G.E. The shoelace technique for wound closure in open fractures: report of early experience. Injury.1997 Nov-Dec; 28:593-595.
15. Asgari M.M., Spinelli H.M. The vessel loop shoelace technique for closure of fasciotomy wounds. Ann Plast Surg.2000 Feb;44:225-229.
16. Sawant M.R., Hallet J.P. The paper-clip modification to the vessel loop shoelace technique for delayed primary closure of fasciotomies.Injury.2001 Oct;32:619-620.
17. Kafie F.E., Tessier D.J., Williams R.A. Serial abdominal closure technique (the SAC procedure): a novel method for delayed closure of the abdominal wall. Am Surg.2003 Feb;69:102-105.
18. Argenta LC1, Morykwas MJ. Vacuum assisted closure: a new method for wound control and treatment. Ann Plat Surg. Jun;38(1977).553-562.
19. Gustafsson R, Johnsson P, Algotsson L, Blomquist S, Ingemansson R. Vacuum assisted closure therapy guided by C reactive protein level in the treatment of deep sternal wound infection. J Thoracic Cardiovascular Surg. 2002 May;123(5).895-900.
20. G.A. Ilizarov. The tension stress effect on the genesis and growth of tissues. Part The influence of stability of fixation and soft tissue preservation. Clin Orthop Relat Res. 1989 Jan;238.249-281.