Cost effectiveness of commercial vacuum-assisted closure (VAC) versus custom made vacuum-assisted closure (VAC)
Journal Title: Journal of Trauma and Orthopaedic Surgery - Year 2018, Vol 0, Issue 0
Abstract
Background: The initial management of open wounds is copious irrigation and thorough debridement, which can cause significant tissue defects. Definitive wound cover can only be planned once the wound is healthy and patient is stable. Till then it requires a temporary closure to prevent the exposed structures from desiccation and bacterial contamination. Commercially available VAC is an effective but expensive therapy in such a case. Custom made VAC may be a cheaper alternative.This study compares cost effectiveness of commercial VAC and custom made VAC therapy. Material and method: This study was done onpatientsaddmittedto orthopaedic ward at MGM medical college and hospital, kamothe, Navi Mumbai. 40 patients were included in the study (20 each group), 14 females and 26 males having indications for VAC therapy.Patients were evenly distributed in both groups according to wound size so that both groups receive comparable size wounds. Results: Mean duration till definitive wound coverage was possible was recorded for each group. In commercial Vac group it was 12.6 days with average cost of therapybeing 13,400Rs. While in custom made VAC groupit was 17.3 days with average cost of therapy being 7800Rs. Conclusions: This study shows that customVAC is comparatively more cost effective as compared to commercial made VAC. Hence custom made VAC can be an effective and cheaper alternative to commercial VAC where it is not available or is not affordable by the patients.
Authors and Affiliations
Rahul Kadam, Ashok Ghodke, Abhishek Gupta, Abhay Chhallani, Sachin Pandey, Ritesh Sawant
Keywords
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- EP ID EP631967
- DOI 10.13107/jto.2018.v05i01.094
- Views 49
- Downloads 0
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