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[Early treatment of large soft-tissue wounds with intermittent vacuum sealing drainage]
Li-Ming Fang1, Ya-Jun Zhang, Ji-Yuan Zheng
1Department of Orthopedics, Second Hospital of Beijing Municipal Corps, Chinese People's Armed Police Forces, Beijing 100037, China.
Objective:
To evaluate the early clinical efficacy of large soft-tissue wounds with intermittent vacuum sealing drainage.
Methods:
From March 2009 to June 2010, the study group was comprised of 56 patients treated with intermittent vacuum sealing drainage. There were 47 males and 9 females with a mean age of 37.5 years (range: 16 - 65). Intermittent vacuum sealing drainage was immediately used after an emergency operation. The mean duration of treatment was 2.5 weeks (range: 1 - 4). The granulation status was observed and wound dressing changed weekly.
Results:
Among them, all wound surfaces were dry and granulation tissues brightly red. There was no deep infection. The mean healing durations of intermittent and continuous vacuum sealing drainage groups were (32 ± 4.5) and (37 ± 7.5) days respectively. And there was no statistical difference (P > 0.05).
Conclusion:
Intermittent vacuum sealing drainage promotes a rapid and copious production of granulation tissue over soft tissue wound. The patient suffering is minimal and the dressings are easy to manage.
