The use vacuum therapy in wound healing after fasciotomy in compartment syndrome — case report and literature review

Błońska-Staniec, Maria; Barczak, Anna E.; Garus, Anna; Balchanowski, Norbert; Miszczuk, Jarosław

doi:10.5603/aa.2016.0015

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…[ 17 ] In addition, VAC is a method that increases wound healing by stimulating angiogenesis and cell division, removing bacteria-rich exudate from wound edges and eliminating edema. [ 18 , 19 ] Kakagia et al[ 15 ] reported infection in 24% of the patients in the VAC group and in 16% of the patients followed with an approximation suture. In a study by Gabriel et al,[ 20 ] none of the patients using VAC developed infection.…”

Section: Discussionmentioning

confidence: 99%

Comparison of dermatotraction and negative pressure wound therapy for closure of cruris fasciotomy after 2023 Kahramanmaras earthquake

Kılıçarslan¹,

Erdoğan

Karaman³

et al. 2023

Jt Dis Relat Surg

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Objectives This study aims to evaluate the results of patients who underwent cruris fasciotomy for acute compartment syndrome (ACS) after the 2023 Kahramanmaras earthquake and used subcuticular polydioxanone (PDS) method or negative pressure wound therapy (NPWT) with vacuum-assisted closure (VAC) for fasciotomy follow-up and closure of the defect. Patients and methods Between March 2023 and April 2023, a total of 52 patients (31 males, 21 females; mean age: 29±14.8 years; range, 5 to 74 years) were retrospectively analyzed. The patients were divided into two groups as the dermatotraction (PDS) group (Group 1, n=30), and the VAC group (Group 2, n=22). Data including demographic, clinical, and operative data such as fasciotomy closure time, graft need, and infection rate were recorded. Results More grafts were needed to close the fasciotomy in patients followed with VAC. The mean closure time of the fasciotomy was 25.9±3.8 days in the PDS group and 27.3±3.5 days in the VAC group, indicating no significant difference between the groups (p=0.738). There was no significant difference in the rate of wound infection between the two groups (p=0.482). Conclusion Our study results suggest that more grafts are needed to close the fasciotomy in patients followed with VAC; however, it seems to increase the cost of the treatment.

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Section: Discussionmentioning

confidence: 99%

Comparison of dermatotraction and negative pressure wound therapy for closure of cruris fasciotomy after 2023 Kahramanmaras earthquake

Kılıçarslan¹,

Erdoğan

Karaman³

et al. 2023

Jt Dis Relat Surg

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“…Since its introduction and development in the late 1990s, vacuum-assisted closure (VAC) has been used in order to close a wide variety of wound types and has contributed significantly to the improvement of healing and reduced requirements for reconstructive procedures 14. VAC induces tissue microstrain that enhances wound healing by improving angiogenesis and cell division, discards the bacteria-rich exudate from wound edges and removes oedema from the extracellular matrix thereby improving the local blood flow and reducing proinflammatory cytokines 14,15. As a result, healing of the marginalised tissue would be improved and progressive tissue necrosis may be reduced, which is of particular importance in reversing the CS-induced pathological changes.…”

Section: Negative-pressure Therapymentioning

confidence: 99%

Optimising Wound Closure Following a Fasciotomy: A narrative review

Alkhalifah¹,

Almutairi²

2019

Sultan Qaboos Univ Med J

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Compartment syndrome is a surgical emergency that could be resolved by a fasciotomy. However, performing substantial skin incisions may lead to life-threatening complications. This narrative review aimed to present the available methods of wound closure and preferential factors for using each technique. Viable and noninfected wounds were most often treated by gradual approximation techniques, such as the simple or modified shoelace technique, the prepositioned intracutaneous suture or several commercially-available mechanical devices. In addition, applying negative pressure therapy was found to be feasible, particularly when combined with approximation techniques. Skin grafting was reserved for severely-dehiscent wounds while other non-invasive approaches were considered for other subsets of patients with inadvisable surgical interventions. Treatment decision should be made in view of the patient’s condition, ease of application, availability of resources, cost of treatment and aesthetic outcomes.Keywords: Compartment Syndrome; Fasciotomy; Wound Closure Techniques; Negative-Pressure Wound Therapy.

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