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Case Reports
. 2016 Aug 2:10:73-6.
doi: 10.1016/j.amsu.2016.07.027. eCollection 2016 Sep.

Well-promising outcomes with vacuum-assisted closure in an infected wound following laparotomy: A case report

A Daskalaki  1 , S Xenaki  1 , M Venianaki  1 , A Topalidou  2 , E Athanasakis  1 , E Chrysos  3 , G Chalkiadakis  3
Affiliations
Case Reports

Well-promising outcomes with vacuum-assisted closure in an infected wound following laparotomy: A case report

A Daskalaki et al. Ann Med Surg (Lond). .

Abstract

Introducation: Negative pressure wound therapy (NPWT) represents an alternative method to optimize conditions for wound healing. Delayed wound closure is a significant health problem, which is directly associated with pain and suffering from patient's aspect, as well with social and financial burden.

Presentation of case: We report a case of vacuum-assisted wound therapy with hypertonic solution distillation and continuous negative pressure application, in an infected wound after laparotomy for incisional hernia reconstruction with mesh placement. Negative pressure was initiated at the wound margins after failure of conventional treatment with great outcomes, achieving a total closure of the incision within two weeks.

Discussion: Each wound has particular characteristics which must be managed. Vacuum assisted closure (VAC) with continuous negative pressure and simultaneous wound instillation and cleanse can provide optimum results, reducing the cavity volume, by newly produced granulated tissue.

Conclusion: The simultaneous use of instillation and constant pressure seemed to be superior in comparison with NPWT alone. Compared to conventional methods, the use of VAC ends to better outcomes, in cases of infected wounds following laparotomy.

Keywords: Case report; GFS, GranuFoam Silver; Incisional hernia; Laparotomy; MDWT, Microdeformational Wound Therapy; NPWT, Negative Pressure Wound Therapy; Negative pressure; PVA, Polyvinyl Alcohol PVA; SWT, Subatmospheric Wound Therapy; TNP, Topical Negative Pressure therapy; VAC, Vacuum Assisted Closure; Vacuum-assisted closure.

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Figures

Fig. 1
Fig. 1
1) Wound just before VAC application, 2a-b) Seventh day, significant reduction of wound cavity, 3) After 13 days, the granulation tissue is evident.
See this image and copyright information in PMC

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