Vacuum-assisted closure (VAC) for craniocerebral wounds in severely injured patients: technical note of a damage
Christophe Joubert1, A Sellier2, J-B Morvan3
1Neurosurgery, Military Teaching Hospital Sainte Anne, Toulon Armees, France christophe.joubert@neurochirurgie.fr.
Abstract:
The management of a craniocerebral wound (CCW) remains challenging, particularly in a severely injured patient. Considering the complexity of the multilayer insult and damage control care in an unstable patient, every procedure performed should promptly benefit the patient. We report an illustrative case of a patient with a gunshot wound to the head that resulted in a CCW for which we applied vacuum-assisted closure (VAC) therapy according to damage control principles. We describe the technical approach and discuss the indications, results and technique by considering the literature available. VAC can be used for CCWs, particularly for large defects in selected patients according to clinical and CT evaluations following immediate resuscitation. In severely injured and unstable patients, VAC aims to delay definitive reconstructive and time-consuming treatment. Interestingly, it appears to be a safe treatment based on the previously described-but not exclusively trauma-cases with no secondary cerebrospinal fluid leakage encountered.
More Related Videos
Related Concept Videos
Angle Closure Glaucoma: Treatment
Blind Procedures
Phases of Wound Repair
Formation of Blood Clot
In case of deep injuries, trauma to blood vessels results in blood loss. In the meantime, phospholipids released from the ruptured endothelial cellular membrane are converted into arachidonic...
DNA Damage Can Stall the Cell Cycle
DNA Damage can Stall the Cell Cycle
Control System Problem
When forming a closed-loop system, issues can arise if the poles cross into the unstable region, leading to potential...


