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  • Know how: vacuum-assisted closure (VAC).
    Auteur : Collier M
    Réf. : Nurs Times 1997 Jan 29-Feb 4;93(5):32-3
     
  • Le vacuum assisted closure. La cicatrisation par pression d'air negative.
    Auteur : Voinchet V; Magalon G
    "Vacuum Assisted Closure" (VAC) is a noninvasive negative pressure healing process indicated in the treatment of chronic wounds associated with unfavourable local or systemic factors. It is indicated for the treatment of traumatic and/or surgical skin defects in order to accelerate the healing process. VAC is based on a simple technology of controlled depression of the lesion which healing process. It exerts a mechanical force on the tissues and attracts the wound edges centripetally. It induces an increased peripheral blood flow, improved local oxygenation and promotes angiogenesis and proliferation of good quality granulation tissue. Wound healing in a humid medium is complete or may require secondary surgical management (skin graft, flaps). The preferential indications for Vacuum Assisted Closure include pressure sores, leg ulcer, wounds with skin defects, burns, complications of surgical wounds and delayed healing.
    Réf. : Ann Chir Plast Esthet 1996 Oct;41(5):583-9
     
  • The use of negative pressure to promote healing [letter; comment] [see comments]
    Auteur : Banwell P; Withey S; Holten I
    Comment on: Br J Plast Surg 1997 Apr;50(3):194-9 Comment in: Br J Plast Surg 1999 Jan;52(1):79 Eng
    Réf. : Br J Plast Surg 1998 Jan;51(1):79
     
  • The use of negative pressure to promote the healing of tissue defects: a clinical trial using the vacuum sealing technique
    Auteur : Mullner T; Mrkonjic L; Kwasny O; Vecsei V
    Comment in: Br J Plast Surg 1998 Jan;51(1):79 Comment in: Br J Plast Surg 1999 Jan;52(1):79A prospective clinical trial from January 1994 to February 1996 evaluated the efficacy of a vacuum sealing technique in dealing with sacral pressure ulcers, acute traumatic soft tissue defects and infected soft tissue defects following rigid stabilization of lower extremity fractures in 45 patients. Polyvinyl foam under negative pressure generates an area of high contact forces at the wound/foam interface. This situation appears to facilitate granulation tissue production while maintaining a relatively clean wound bed. In 84% (38/45) of the patients the use of the vacuum sealing technique following irrigation and debridement decreased the dimensions of the initial wound, thus facilitating healing time and the eradication of any pre-existing infection. Wound closure by granulation, secondary closure, or split thickness skin grafting was achieved in 35 wounds. The vacuum sealing technique is an effective option in the management of infected wounds.
    Réf. : Br J Plast Surg 1997 Apr;50(3):194-9
     
  • Use of vacuum-assisted wound closure in three chronic wounds.
    Auteur : Hartnett JM
    Vacuum-assisted wound closure has been reported to promote the healing of chronic wounds by increasing the vascularity and oxygenation of the wound bed, maintaining a moist environment, and removing exudate through negative pressure. The results of vacuum-assisted wound closure for 3 patients with chronic wounds are presented.
    Réf. : J Wound Ostomy Continence Nurs 1998 Nov;25(6):281-90
     
  • Using the vacuum dressing alternative for difficult wounds.
    Auteur : Valenta AL
    Réf. : Am J Nurs 1994 Apr;94(4):44-5
     
  • Vacuum drainage of postoperative wounds
    Réf. : Klin Khir 1977 Feb;(2):64-5
     
  • Vacuum-assisted closure in the treatment of degloving injuries.
    Auteur : Meara JG; Guo L; Smith JD; Pribaz JJ; Breuing KH Orgill DP
    Degloving injuries range from the occult, easily missed injury to obvious massive tissue damage. The serious nature of these wounds is exacerbated by mismanagement. It is generally accepted that the degloved tissue should be excised, defatted, fenestrated, and reapplied as a full-thickness skin graft. Dressings are required that provide gentle, evenly distributed pressure and avoid shear stress to the newly grafted skin. Numerous types of dressings have been devised but all are cumbersome and time-consuming. We have found the Vacuum-Assisted Closure device to be a rapid, effective, and easy-to-use alternative to traditional methods. The authors examine their experience using a vacuum-assisted closure device to treat nine degloving injuries in 5 patients and discuss the important aspects in using this technique.
    Réf. : Ann Plast Surg 1999 Jun;42(6):589-94
     
  • Vacuum-assisted closure of a sacral pressure sore.
    Auteur : Deva AK; Siu C; Nettle WJ
    Réf. : J Wound Care 1997 Jul;6(7):311-2
     
  • Vacuum-assisted closure: a new method for wound control and treatment: clinical experience.
    Auteur : Argenta LC; Morykwas MJ
    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.
    Réf. : Ann Plast Surg 1997 Jun;38(6):563-76; discussion 577
     
  • Vacuum-assisted closure: wound care technology for the new millennium.
    Auteur : Kalailieff D
    Réf. : Perspectives 1998 Fall;22(3):28-9
     
  • Wound treatment by vacuum sealing
    Auteur : Thoner B; Fleischmann W; Moch D
    Réf. : Krankenpfl J 1998 Mar;36(3):78-82
     

 

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