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Vacuum sealing drainage therapy in the presence of an external fixation device: A case report
Dahui Sun1, Weina Ju, Tiejun Wang
1Division of Orthopedic Traumatology, The First Hospital of Jilin University Department of Neurology, The First Hospital of Jilin University, Changchun, China.
Rationale:
Vacuum sealing drainage (VSD) is widely utilized for treating traumatic wounds.
Patient Concerns:
It is particularly difficult and time consuming to use in combination with an external fixator.
Diagnoses:
This is because the hardware or pins used for fixation interfere with maintaining a seal, resulting in poor adhesion and subsequent air leakage.
Interventions:
To resolve this problem, we have devised a new method for sealing the wound dressing, while maintaining the required vacuum.When using this technique, a rubber strip is wrapped around each pin in 3 circles outside the plastic drape, and then tightly tied.
Outcomes:
After completing this procedure, a vacuum is obtained, and any air leakage stops. We employed this technique to treat a cohort of patients in our department over a period of two years, and obtained good healing of soft tissue without air leakage, as well as good clinical outcomes.
Lessons:
We have observed that patients treated with this method experienced good clinical outcomes without air leakage, and we recommend its use in treating cases where an external fixation device is present.
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