OUR INITIAL EXPERIENCE WITH VAC SUCTION IN THE MANAGEMENT OF INFECTED WOUNDS: A PROSPECTIVE STUDY
Journal Title: International Journal Of Advances In Surgery - Year 2017, Vol 1, Issue 3
Abstract
Background: Management of infected wounds is not always simple and easy. Vacuum-assisted closure (VAC) is a wound healing therapy that utilizes a dressing system that continuously or intermittently applies a negative pressure to the wound surface. Aim: Our aim is to assess the Feasibility and advantages of simplified version of otherwise costly VAC, or simple suction drainage in selected cases. Material and methods: This prospective study was done in the unit 2nd of department of surgery SMHS hospital at GMC Srinagar over a period of 3 years from January 2014 to December 2016. During this period, 32 patients were subjected to vacuum suction treatment and were included in this study. Results: Wall suction (VAC) was used in 26 patients. Mini Vac drain (USG guided) was used in 5 cases. In one patient of scalp infection conventional large size suction drain was used. The time taken for the wounds to become healthy was 3 to 7(average 3.5) days of VAC dressing or suction drainage. No antibiotics were given during suction drainage in 21 patients. Need for grafting by split skin grafting method was felt in only 2 patients. Mild discomfort (abnormal sensation) was reported in 21 patients. Hospital stay for patients managed by suction therapy was 12 hours (breast abcess) to 16 days (average7 days). The total cost incurred in the patients undergoing VAC for a period of 15 days per patient was Rs. 800 ($ 12). Conclusion: VAC seems to have revolutionary potential in the management of the difficult to treat infected wounds as far as its safety, speed and cost-effectiveness are considered.
Authors and Affiliations
Shabir Ahmad Mir, Mohammad Hanief Dar, Sajad Ahmad Tak, Mushtaq Ahmad Mir, Mumtazdin Wani
Keywords
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