Our experience with a "homemade" vacuum-assisted closure system
Avshalom Shalom1, Hadad Eran, Melvyn Westreich
1Department of Plastic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.
The Israel Medical Association Journal : IMAJ
|October 14, 2008
Summary
A novel, cost-effective negative-pressure wound therapy system was developed, offering comparable results to the expensive V.A.C. system. This homemade approach significantly reduces treatment costs for complex wound healing.
Area of Science:
- Wound Healing
- Medical Devices
- Health Economics
Background:
- Negative-pressure wound therapy (NPWT) accelerates wound healing.
- The commercially available V.A.C. system is effective but costly.
- Institutional budget constraints limited routine use of expensive NPWT devices.
Purpose of the Study:
- To develop a low-cost NPWT dressing.
- To achieve comparable effectiveness to existing systems.
- To provide a cost-effective alternative for wound closure.
Main Methods:
- A "homemade" NPWT system was designed and implemented.
- Fifteen patients with complex wounds were treated retrospectively.
- Cost analysis compared the homemade system with the V.A.C. system.
Main Results:
- The homemade system demonstrated comparable outcomes to the V.A.C. system.
- Minor complications were observed.
- Daily cost for a 10 cm2 wound was approximately $1, versus $22 for the V.A.C. system.
Conclusions:
- The homemade NPWT system is a cost-effective treatment option.
- It provides comparable results to the V.A.C. system for wound closure.
- This approach is suitable for hospitalized patients with complex wounds.
Related Concept Videos
Suctioning the Nasopharyngeal Airway
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
Suctioning the Oropharyngeal Airway
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...


