The comparison of vacuum assisted closure and conventional cotton gauze dressing in the treatment of defective lower extremity injuries

ÖZDEN R., DUMAN İ. G., Uruc V., DOĞRAMACI Y., KALACI A., Komurcu E.

Acta Medica Mediterranea, cilt.30, sa.6, ss.1337-1342, 2014 (SCI-Expanded) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 30 Sayı: 6
  • Basım Tarihi: 2014
  • Dergi Adı: Acta Medica Mediterranea
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.1337-1342
  • Anahtar Kelimeler: Negative pressure wound therapy, Negative pressure wound therapy, Traumatic wounds, Vacuum assisted closure
  • Hatay Mustafa Kemal Üniversitesi Adresli: Evet

Özet

We performed a retrospective analysis to compare the efficacy of the vacuum assisted closure (VAC) therapy and conventional cotton gauze dressing of wounds. From July 2011 to August 2013, 40 patients were included in the study. All patients were reconstructed with split thickness skin graft after the granulation tissue was sufficient. Two groups of 20 patients were compared retrospectively. Data were collected for gender, age, time needed for sufficient granulation tissue for split thickness skin grafts, length of stay in hospital and number of debridement for wound VAC application, and conventional cotton gauze dressing methods. Demographic data were the same for two groups. Time needed to have a good granulation tissue that was sufficient for split thickness skin graft, length of stay in hospital, and number of debridement were significantly less in VAC treatment group (P < 0.05). No major complication occurred that was directly attributable to treatment. VAC therapy appears to be a good adjunct for the treatment of musculoskeletal injuries and found to facilitate the rapid formation of healthy granulation tissue on wounds in the lower limb and shortens the length of stay in hospital.