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. 2016 Jun;13(3):336-42.
doi: 10.1111/iwj.12301. Epub 2014 May 28.

VAC therapy to promote wound healing after surgical revascularisation for critical lower limb ischaemia

Giovanni De Caridi  1 , Mafalda Massara  1 , Michele Greco  1 , Narayana Pipitò  1 , Francesco Spinelli  1 , Raffaele Grande  2 , Lucia Butrico  2 , Stefano de Franciscis  2   3 , Raffaele Serra  2   3
Affiliations

VAC therapy to promote wound healing after surgical revascularisation for critical lower limb ischaemia

Giovanni De Caridi et al. Int Wound J. 2016 Jun.

Abstract

Vacuum-assisted closure (VAC) therapy is a new emerging non-invasive system in wound care, which speeds up wound healing by causing vacuum, improving tissue perfusion and suctioning the exudates, and facilitating the removal of bacteria from the wound. The application of sub-atmospheric pressure on the lesions seems to alter the cytoskeleton of the cells on the wound bed, triggering a cascade of intracellular signals that increase the rate of cell division and subsequent formation of granulation tissue. The aim of this study is to analyse the results of VAC therapy used as an adjuvant therapy for the treatment of foot wounds in patients affected by critical limb ischaemia (CLI) (Rutherford 6 class) after distal surgical revascularisation, to promote and accelerate the healing of ulcers. Twenty-nine patients (20 males, 9 females; mean age 68·4) affected by CLI of Rutherford 6 class, after surgical revascularisation of the lower limb, underwent VAC therapy in order to speed up wound healing. Complete wound healing was achieved in 19 patients (65·51%), in an average period of 45·4 ± 25·6 days. VAC therapy is a valid aid, after surgical revascularisation, to achieve rapid healing of foot lesions in patients with CLI.

Keywords: Critical lower limb ischaemia; Vacuum-assisted closure therapy; Wound healing.

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Figures

Figure 1
Figure 1
open transmetatarsal amputation.
Figure 2
Figure 2
Application of VAC therapy on open transmetatarsal amputation.
Figure 3
Figure 3
Results at the end of the treatment.
See this image and copyright information in PMC

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