Expert Pointers On Negative Pressure Wound Therapy

Volume 20 - Issue 7 - July 2007
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Lee C. Rogers, DPM, used VAC therapy until the wound bed was completely prepared and granular as shown in the above photo.

Here one can see a meshed graft on the dorsum of the foot covering a chronic wound. Note that one can minimize the meshed area, giving greater coverage and still avoiding seroma collection when using VAC therapy. (Photo courtesy of Eric Travis, DPM)

Expert Pointers On Negative Pressure Wound Therapy

Author(s):

Clinical Editor: Lawrence Karlock, DPM

1. Fabian TS, Kaufman HJ, Lett ED, et al. The evaluation of subatmospheric pressure and hyperbaric oxygen in ischemic full-thickness wound healing. The Am Surg. 66: 1136-1143, 2000.
2. Schneider AM, Morykwas MJ, Argenta LC. A new and reliable method of securing skin grafts to the difficult recipient bed. Plas Reconstr Surg. 102(4) 1195-1198, 1998.
3. McCallon SK, Knight CA, Valiulus JP, et al. Vacuum-assisted closure versus saline-moistened gauze in the healing of postoperative diabetic foot wounds. Ostomy/Wound Mngmt. 46(8) 28-34, 2000.
4. DeFranzo AJ, Argenta LC, Marks MW, et al. The use of vacuum-assisted closure for the treatment of lower-extremity wounds with exposed bone. Plas Reconstr Surg. 108(5) 1184-1191, 2001.
5. Blackburn JH, Boemi L, Hall WH, et al. Negative pressure dressings as a bolster for skin grafts. Ann Plast Surg. 40(5) 453-457, 1998.
6. Espensen EH, Nixon BP, Lavery LA, Armstrong DG. Use of subatmospheric (VAC) therapy to improve bioengineered tissue grafting in diabetic foot wounds. J Am Podiatr Med Assoc. 92(7) 395-397, 2002.
7. DeFranzo AJ, Marks MW, Argenta LC, Genecov DG. Vaccum-assisted closure for the treatment of degloving injuries. Plas Reconstr Surg. 104(7) 2145-2148, 1999.
8. Argenta LC, Morykwas MJ. Vacuum-assisted closure: A new method for wound control and treatment: Clinical experience. Ann Plast Surg. 38(6) 563-576, 1997.
9. Genecov DG, Schneider AM, Morykwas MJ, et al. A controlled subatmospheric pressure dressing increasesrate of skin graft donor site reepithelialization. Ann Plast Surg. 40(3) 219-225, 1998.
10. Mooney JF, Argenta LC, Marks MW, Morykwas MJ, DeFranzo AJ. Treatment of soft tissue defects in pediatric patients using the V.A.C. system. Clin Orthop Rel Res 376 26-31, 2000.
11. Mendez-Eastman S. Guidelines for using negative pressure wound therapy. Adv Skin Wound Care 14(6) 314-322, 2001.
12. Schneider AM, Morykwas MJ, Argenta LC. A new and reliable method of securing skin grafts to the difficult recipient bed. Plas Reconstr Surg. 102(4) 1195-1198, 1998.
13. Hallock GG. Local fasciocutaneous flap skin coverage for the dorsal foot and ankle. Foot Ankle. 11(5) 274-281, 1991.
14. Olenius MO. Mitotic activity in expanded human skin. Plas Reconstr Surg. 65(12) 213-216, 1991.
15. Wood MB, Irons GB, Cooney WB. Foot reconstruction by free flap transfer. Foot Ankle. 4(1) 2-7, 1983.