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Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
Ambulant vacuum-assisted closure of skin-graft dressing in the lower limbs using a portable mini-VAC device
G Sposato1, G Molea, G Di Caprio
1Salvatore Maugeri Foundation, Institute of Care and Scientific Research Rehabilitation, Institute of Telese Terme (Benevento), Via Bagni Vecchi, Telese Terme (Benevento), Italy.
Abstract:
A skin graft may fail to adhere to the recipient site because of fluid collecting between the graft and the area being treated. We have devised a simple procedure, consisting of a vacuum-sealed dressing, to fix skin grafts on the lower limbs. A fully portable, battery-operated aspirator continuously draws secretions through a vacuum-sealed dressing, preventing accumulation of fluid underneath the graft. Patients are not confined to bed, thus reducing nursing time. The procedure was applied successfully in seven out of nine patients treated for ulcers of the lower limbs.