Vacuum sealing drainage combined with free anterolateral femoral skin flap grafting in 16 cases of pediatric soft tissue damage to the foot and ankle

Abstract

Background: To investigate the clinical experience and discuss the use of vacuum sealing drainage (VSD) combined with free anterolateral femoral flap grafting to treat pediatric foot and ankle soft tissue traumas.Methods: This was a retrospective analysis of 16 pediatric patients with foot and ankle soft tissue traumas treated with free anterolateral femoral flap grafting from January 2015 to January 2018. After successful debridement and VSD, the clinical efficacy of the procedure was evaluated by observing parameters such as the color, shape, and texture of the flap on the receptor site.Results: All patients were followed up for 23-32 months after surgery. Of the 16 patients, six had a flat flap appearance, while the remaining ten patients required flap repair surgery 6-9 months after the procedure.Eight of these ten patients had a satisfactory repair, and the remaining two patients had further repair surgery 9-10 months after the flap grafting. The postoperative results of all patients were satisfactory; no local infection, good flap survival, soft texture, glossy elasticity, and flat appearance. Statistical results showed only one case of local necrosis at the distal end of the flap, and the wound healed at stage II after redebridement and dressing change.Conclusions: VSD combined with free anterolateral femoral flap grafting is an easy and reliable operation with a good prognosis and excellent clinical utility and feasibility for treating pediatric patients with foot and ankle soft tissue traumas.

[Retracted] Analysis of DAT Combined with the VSD Technique in Wound Repair of Rats and Its Effect on Inflammatory Factors

“…With the wide application of VSD technology in clinical practice, it has been proved to have high clinical efficacy in the treatment of diabetic foot, ulcer wounds, etc. Numerous studies have shown that VSD can not only remove exudates and necrotic tissue in wounds in time but also reduce the infection rate to a certain extent [9].…”

“…With the wide application of VSD technology in clinical practice, it has been proved to have high clinical efficacy in the treatment of diabetic foot, ulcer wounds, etc. Numerous studies have shown that VSD can not only remove exudates and necrotic tissue in wounds in time but also reduce the infection rate to a certain extent [ 9 ]. The DAT structure has a variety of growth factors such as collagen, glycosaminoglycan, and VEGF, which can be used as a three-dimensional scaffold material to promote tissue regeneration.…”

Successful treatment of an infected wound involving calciphylaxis via vacuum sealing drainage: A case report

“…Several studies have shown that VSD technique has a promising performance in treating wound beds infected with various pathogenic microorganisms [5] , [6] . The adjuvant treatment of VSD may help to cover the dead space, reduce wound healing time and the risk of recurrent infection [7] . As the initial measures of wound care, serial debridement and STS treatment have not slowed down the progress of the disease in this case, the VSD along with the creative use of topical antibiotic flushing provided the best solution to promote healing of the infected field within 12 weeks in this case.…”

Intervention Effect of Evidence-Based Nursing on Postoperative Recovery of Vacuum Sealing Drainage in Patients with High Perianal Abscess with Magnetic Resonance Imaging Sequence Images

“…e approach of VSD is outside the sphincter or at the sphincter tendon, reducing the damage to the sphincter during surgery and protecting the anal function to the greatest extent. Continuous negative pressure can collapse the abscess cavity, which is beneficial to the closure of the abscess cavity and the healing of the wound, reducing the length of hospital stay and promoting early recovery of patients [23]. Xue et al [24] explored the therapeutic effect of VSD on wound repair time and inflammation in patients with soft tissue trauma compared with the traditional treatment.…”