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      Vacuum-assisted closure: a new method for wound control and treatment: clinical experience.

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      Annals of plastic surgery

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          Abstract

          Despite numerous advances, chronic and other difficult-to-manage wounds continue to be a treatment challenge. Presented is a new subatmospheric pressure technique: vacuum-assisted closure (The V.A.C.). The V.A.C. technique entails placing an open-cell foam dressing into the wound cavity and applying a controlled subatmospheric pressure (125 mmHg below ambient pressure). Three hundred wounds were treated: 175 chronic wounds, 94 subacute wounds, and 31 acute wounds. Two hundred ninety-six wounds responded favorably to subatmospheric pressure treatment, with an increased rate of granulation tissue formation. Wounds were treated until completely closed, were covered with a split-thickness skin graft, or a flap was rotated into the health, granulating would bed. The technique removes chronic edema, leading to increased localized blood flow, and the applied forces result in the enhanced formation of granulation tissue. Vacuum-assisted closure is an extremely efficacious modality for treating chronic and difficult wounds.

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          Author and article information

          Journal
          Ann Plast Surg
          Annals of plastic surgery
          0148-7043
          0148-7043
          Jun 1997
          : 38
          : 6
          Affiliations
          [1 ] Department of Plastic and Reconstructive Surgery, Bowman Gray School of Medicine, Winston-Salem, NC 27157-1075, USA.
          Article
          10.1097/00000637-199706000-00002
          9188971
          e9aa7d0a-b688-4189-a42b-935f9cad5e4d
          History

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