The Simplest Modified Vacuum Assisted Closure to Treat Chronic Wound : Serial Case Report

Abstract

Among the current adjunctive treatment modalities available for the treatment of chronic wounds, vacuum-assisted closure therapy showed promising results. However, the VAC Therapy system is expensive, requires extensive amounts of product and needs a power source at all times. In this article, the authors introduce and review their experience with simplest modified vacuum assisted closure (smVAC) for treatment of chronic wound. Three patients with chronic wound came to the plastic surgery division at Sardjito hospital in early 2010 and were treated using simplest modified vacuum assisted closure (smVAC). After the wound bed was ready, split thickness skin graft (STSG) were performed to close the wound and smVAC was used to assist the graft placement. All patients underwent successful healing and reported satisfaction with their results. There were no side effects from using this device, such as maceration, necrosis and bleeding. Through the serial cases, the smVAC had shown to serve its function in providing adequate vacuum pressure for wounds. It is an alternative to the original vacuum assisted closure.

The use of Indonesian randu honey for chronic wounds in a patient with uncontrolled type 2 diabetes mellitus: A case report

“…We changed the honey wound dressing every five days as inpatient treatment because we combined honey wound dressing with wall suction VAC that could remove fluid from an open wound [17] . Plastic, reconstructive, and aesthetic surgeons in Dr. Sardjito hospital have frequently done wall suction VAC in various wounds, with successful results following the VAC treatment [18] , [19] . In contrast, as outpatient therapy, we changed the honey wound dressing every two days because of the absence of a portable suction VAC in our hospital.…”

Negative Pressure Wound Therapy (NPWT): Our Experience in Pakistan With Locally Made Dressing

“…The basic mechanism of NPWT is mechanotransduction and micro deformation leading to cellular proliferation under hypoxic stress providing an environment for angiogenesis [5]. NPWT has evolved and been modified in the last three decades to make it more cost effective and improve its portability [6,7]. The basic goals of an NPWT dressing are to accelerate wound healing by reducing edema, contraction at wound edges, granulation from the base of the wound and typically reduced dressing change frequency and hospital stay.…”