The use of vacuum assisted closure (VAC™) in soft tissue injuries after high energy pelvic trauma

Labler, Ludwig; Trentz, O.

doi:10.1007/s00423-006-0090-0

Cited by 57 publications

(46 citation statements)

References 43 publications

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“…5, 9, 18) or vacuum-assisted closure (VAC Ò ) -therapy (Nos. 6,7,12,14) were used [20][21][22]. Specimens of wound fluid for bacteriological examination were examined from 19 patients.…”

Section: Methodsmentioning

confidence: 99%

Management of Morel-Lavallee Lesion Associated with Pelvic and/or Acetabular Fractures

Steiner

Trentz²,

Labler

2007

Eur J Trauma Emerg Surg

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Objective: Management of Morel-Lavallee soft tissue lesion (MLL) in patients with associated pelvic and/or acetabular fractures is still under discussion. Especially, the sequence of treatment of MLL soft tissue management and osteosynthesis of pelvic and acetabular injury remains controversial. Methods: We report all consecutive patients with MLL associated with pelvic ring and/or acetabular fractures during an 8-year period at our hospital. Surgical access and techniques were analyzed concerning complications and outcome. Results: Altogether, 20 patients were included in the study. One patient was treated conservatively and MLL healed without complications; 19 patients had an operative treatment of MLL. In 15 patients debridement was performed within one day after injury and in four patients with delay of 5 days at least. Ten patients had surgery for an associated pelvic ring or acetabular fracture. In four of them MLL was operated before, in six patients simultaneously to osteosynthesis. In three patients, the same surgical approach for osteosynthesis and debridement of MLL was used; none of them showed postoperative complications. Altogether, in nine operated patients (47.4%) MLL healed without any complications. Nine operated patients presented prolonged wound healing, however, during long term follow-up, all patients showed complete healing of the MLL. One patient died during resuscitive surgical procedures. Conclusions: We recommend debridement for early and delayed treatment of MLL. Osteosynthesis during first debridement may be performed without adverse outcome. Identical surgical access for both procedures can be used. In case of repeated surgical debridement VAC Ò therapy may be a helpful tool for dead space reduction and wound conditioning.

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“…5, 9, 18) or vacuum-assisted closure (VAC Ò ) -therapy (Nos. 6,7,12,14) were used [20][21][22]. Specimens of wound fluid for bacteriological examination were examined from 19 patients.…”

Section: Methodsmentioning

confidence: 99%

Management of Morel-Lavallee Lesion Associated with Pelvic and/or Acetabular Fractures

Steiner

Trentz²,

Labler

2007

Eur J Trauma Emerg Surg

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“…The output from the NPWT has to be closely monitored. NPWT protects the wound via a polyurethane foam which is sealed airtight by a polyvinyl foil [12]. A high negative pressure applied allows for continuous drainage of the exudative fluids from the wound bed [13,14].…”

Section: Discussionmentioning

confidence: 99%

“…A high negative pressure applied allows for continuous drainage of the exudative fluids from the wound bed [13,14]. This enhances wound care management by reducing the need for frequent dressing change, reducing risk of urinary contamination and reducing bacterial counts in the wound [12,14].…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Traumatic Perineal Degloving Injury

Lau¹,

Lim²,

Chen³

et al. 2017

Surgery Curr Res

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Introduction: Degloving injuries are most commonly caused by road traffic accidents and industrial accidents. They result from of a large rotational force, which avulses the skin and subcutaneous tissue from the underlying fascia. The majority of such injuries involve the lower extremities. Perineal degloving injury is seldom reported in the literature. Presentation of case:In this case report, we present the case of a 22 year old male pedestrian involved in a motor vehicle accident. He sustained an open perineal degloving injury.

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“…These lesions are not easy to treat, as huge wound surfaces with subcutaneous bleeding and, at a later stage, seroma formation complicate an uneventful course. Treatment with vacuum-assisted closure [26] has been advocated, and percutaneous management has also been suggested with good results [27].…”

Section: Morel-lavallémentioning

confidence: 99%

“…Open wounds can be treated with vacuum-assisted closure therapy [26] and repeated debridement. A planned second-look operation until the wounds are consolidated should be considered.…”

Section: Treatment Protocol Of Complex Unstable Open Pelvic Ring Traumamentioning

confidence: 99%

Pelvic Fractures: Soft Tissue Trauma

Leenen

2010

Eur J Trauma

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The use of vacuum assisted closure (VAC™) in soft tissue injuries after high energy pelvic trauma

Cited by 57 publications

References 43 publications

Management of Morel-Lavallee Lesion Associated with Pelvic and/or Acetabular Fractures

Management of Morel-Lavallee Lesion Associated with Pelvic and/or Acetabular Fractures

A Case Report of Traumatic Perineal Degloving Injury

Pelvic Fractures: Soft Tissue Trauma

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