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Vacuum-assisted complex wound closure with elastic vessel loop augmentation: a novel technique.
S G Moran1, S T Windham, J M Cross
1Department of Surgery, Section of Trauma, Burns and Surgical Critical Care, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. stephan.moran@ccc.uab.edu
Journal of Wound Care
|July 4, 2003
Summary
Serious abdominal or soft-tissue injuries often need multiple surgeries. The Vacuum-Assisted Closure device and shoelace technique can help approximate tissues, aiding recovery in complex trauma cases.
Area of Science:
- Surgical innovation
- Trauma management
Background:
- Complex abdominal and soft-tissue injuries frequently necessitate staged surgical interventions.
- Achieving adequate tissue approximation can be challenging in these critical cases.
Purpose of the Study:
- To evaluate the efficacy of Vacuum-Assisted Closure (VAC) combined with a shoelace technique for fascial and soft-tissue approximation in patients with severe injuries.
Main Methods:
- Application of the Vacuum-Assisted Closure device.
- Utilization of a shoelace technique for tissue approximation.
- Multistaged surgical management approach.
Main Results:
- The combination of VAC and shoelace technique demonstrated effectiveness in promoting fascial closure.
- Facilitated soft-tissue approximation in patients with significant defects.
Conclusions:
- Vacuum-Assisted Closure, coupled with a shoelace technique, offers a viable strategy for managing complex abdominal and soft-tissue injuries.
- This approach aids in achieving tissue approximation, potentially improving outcomes in staged surgical management.