A review of negative-pressure wound therapy in the management of burn wounds

Kantak, Neelesh A.; Mistry, Riyam; Halvorson, Eric G.

doi:10.1016/j.burns.2016.06.011

Cited by 47 publications

(28 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Additionally, secondary trauma during removal due to the adhesion of the dressing to the wound bed can impair the graft outcome [7]. Vacuum-assisted closure (VAC), also known as negative pressure wound therapy, has been used as a dressing for patients with open-fractures and acute or chronic burn wounds to reduce the extent of the injury [8]. The postoperative use of VAC can create a controlled and closed environment and reduce exudation, thereby facilitating local circulation and tissue granulation [9].…”

Section: Introductionmentioning

confidence: 99%

“…The postoperative use of VAC can create a controlled and closed environment and reduce exudation, thereby facilitating local circulation and tissue granulation [9]. For skin grafts, VAC can be applied as a bridge for grafting, as a fixation method to secure the graft, and as a dressing at the graft donor site [8]. Additionally, this technique has proven to save time for clinicians and improve patient mobility due to its favorable fixation ability and the absence of a splint [9].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Retrospective Study on the Clinical Superiority of the Vacuum-Assisted Closure System with a Silicon-Based Dressing over the Conventional Tie-over Bolster Technique in Skin Graft Fixation

Chou

Hsieh

et al. 2019

Medicina

View full text Add to dashboard Cite

Background and Objectives: The tie-over bolster technique has been conventionally used for skin graft fixation; however, long operative times and postoperative pain are the main disadvantages of this method. In this study, we introduce a new method using vacuum-assisted closure (VAC) with a silicon-based dressing as an alternative for skin graft fixation. This retrospective study aimed to evaluate the clinical effect of the VAC plus silicon-based dressing method and the conventional tie-over bolster technique for skin graft fixation in terms of pain, operative time, and skin graft take rate. Materials and Methods: Sixty patients who underwent skin graft surgery performed by a single surgeon from January 2017 to October 2018 were included in this clinical study. They were divided into two groups based on the type of treatment: tie-over bolster technique and vacuum-assisted closure (VAC), or silicon-based dressing groups. The operative times were recorded twice (during suturing or stapling of the graft and during removal of the dressing) in the two groups; similarly, pain was assessed using a numeric rating scale (NRS) after surgery and during dressing removal. Skin graft take rate was evaluated two weeks after dressing removal. Results: Twenty-six patients who met the eligibility criteria were enrolled into the study and assigned to one of the two groups (n = 13 each). No significant differences in age, gender, and graft area were noted between the two groups of patients. The VAC plus silicon-based dressing group demonstrated higher skin graft take rates (p < 0.05), shorter operation times (p < 0.05), and lower levels of pain (postoperative pain and pain during dressing removal) compared with the tie-over bolster technique group (p < 0.05). Conclusions: These findings indicate that VAC with silicon-based dressing can be used for skin graft fixation due to its superior properties when compared with the conventional method, and can improve the quality of life of patients undergoing skin graft fixation.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Retrospective Study on the Clinical Superiority of the Vacuum-Assisted Closure System with a Silicon-Based Dressing over the Conventional Tie-over Bolster Technique in Skin Graft Fixation

Chou

Hsieh

et al. 2019

Medicina

View full text Add to dashboard Cite

show abstract

“…После фиксации вакуумной повязки присоединили аппарат для вакуумной терапии ран VivanoTec, установили на ап-Рис. 13. Раневой дефект на лице перед аутодермопластикой парате режим постоянного давления 110 мм рт.…”

Section: рис 7 приживление кожных трансплантатов на 7-е суткиunclassified

“…Рубцы на лице воспринимаются пациентами не исключительно физическим дефектом, но и как тяжелая психологическая травма [8][9][10][11]. При лечении пациентов с рубцами на лице достижение наиболее функционального косметического результата, удовлетворяющего пациента, является главной целью реконструктивного хирургического лечения [12,13].…”

Section: Introductionunclassified

Improvement of Surgical Treatment for Post-Ambustial Cicatrical Deformations Using Vacuum Therapy

Богданов

Марченко

Поляков

et al. 2019

Innovative Medicine of Kuban

View full text Add to dashboard Cite

Background Improvement of treatment results in patients with cicatrical deformations by means of new surgical techniques and vacuum dressings is the aim of this study. Material and Methods We described clinical results after vacuum therapy application for reconstructive surgical treatment after facial and cervical cicatrical deformation caused by burns. Patients underwent dissection of cicatrical blocks, and then we performed layer-by-layer autodermoplasty with further vacuum dressing placement. Results Engraftment of tissue autotransplant took 507 days and we observed reliable clinical result. Conclusions Vacuum therapy favours optimal conditions for rapid engraftment and adaptation layer-bylayer tissue autotransplants.

show abstract

“…28 It seems likely that it will play an increasing role in larger wounds. 28 It seems likely that it will play an increasing role in larger wounds.…”

Section: Defining Role Of Negative Pressure Wound Therapymentioning

confidence: 99%