To Study the Outcome of Low-Cost Negative-Pressure Wound Therapy Using Wall-Mounted Vacuum Device in the Treatment of Open Wounds

Background: The Primary objective of this prospective study is to study the rate of infection, number of days required for formation of healthy granulation tissue, healing of soft tissue injury and number of days of hospital stay and cost effectiveness associated with soft tissue injury treated by V...

Full description

Saved in:
Bibliographic Details
Main Authors: Neeraj Jain, Ravi Kant Jain, Ajay Sabhnani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Orthopedics, Traumatology and Rehabilitation
Subjects:
Online Access:https://journals.lww.com/10.4103/jotr.jotr_99_22
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1825198061768409088
author Neeraj Jain
Ravi Kant Jain
Ajay Sabhnani
author_facet Neeraj Jain
Ravi Kant Jain
Ajay Sabhnani
author_sort Neeraj Jain
collection DOAJ
description Background: The Primary objective of this prospective study is to study the rate of infection, number of days required for formation of healthy granulation tissue, healing of soft tissue injury and number of days of hospital stay and cost effectiveness associated with soft tissue injury treated by Vacuum Assisted closure therapy. Methods: This is a prospective observational study of 30 patients presenting with open musculoskeletal injuries in extremities that required coverage procedures in the department of Orthopaedics, Sri Aurobindo Medical College and PG Institute, Indore. All these patients had undergone wound debridement and fracture fixation. This was followed by application of Vacuum Assisted Closure (VAC). The infection rate analysed by clinical findings and investigations. Assessment of these wound(s) were done on a regular basis by wound bed score. Assessment of rate of granulation was done on every 3rd day. Based on the rate of granulation, definitive surgical intervention (skin grafting, secondary closures and flap cover procedures) was done. The patient was sent home after performing the definitive surgical intervention. Results: The infection rate was low when compared to literature study of conventional dressings. The primary wound coverage can be done earlier wound healing was also faster in patients. Conclusion: This is a simple and low cost method for treating soft tissue injury associated with severe open fractures. It can be done even in peripheral hospitals with low resources. The rate of granulation tissue formation is good with vacuum assisted closure. Also compliance of patient is good in vacuum assisted closure therapy.VAC dressing also provided the wound ready for SSG or flap rotation early as assessed by wound bed score.
format Article
id doaj-art-abc39dd0aae041f881817424ab663f99
institution Kabale University
issn 0975-7341
2347-3746
language English
publishDate 2023-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Orthopedics, Traumatology and Rehabilitation
spelling doaj-art-abc39dd0aae041f881817424ab663f992025-02-08T05:50:54ZengWolters Kluwer Medknow PublicationsJournal of Orthopedics, Traumatology and Rehabilitation0975-73412347-37462023-01-0115151110.4103/jotr.jotr_99_22To Study the Outcome of Low-Cost Negative-Pressure Wound Therapy Using Wall-Mounted Vacuum Device in the Treatment of Open WoundsNeeraj JainRavi Kant JainAjay SabhnaniBackground: The Primary objective of this prospective study is to study the rate of infection, number of days required for formation of healthy granulation tissue, healing of soft tissue injury and number of days of hospital stay and cost effectiveness associated with soft tissue injury treated by Vacuum Assisted closure therapy. Methods: This is a prospective observational study of 30 patients presenting with open musculoskeletal injuries in extremities that required coverage procedures in the department of Orthopaedics, Sri Aurobindo Medical College and PG Institute, Indore. All these patients had undergone wound debridement and fracture fixation. This was followed by application of Vacuum Assisted Closure (VAC). The infection rate analysed by clinical findings and investigations. Assessment of these wound(s) were done on a regular basis by wound bed score. Assessment of rate of granulation was done on every 3rd day. Based on the rate of granulation, definitive surgical intervention (skin grafting, secondary closures and flap cover procedures) was done. The patient was sent home after performing the definitive surgical intervention. Results: The infection rate was low when compared to literature study of conventional dressings. The primary wound coverage can be done earlier wound healing was also faster in patients. Conclusion: This is a simple and low cost method for treating soft tissue injury associated with severe open fractures. It can be done even in peripheral hospitals with low resources. The rate of granulation tissue formation is good with vacuum assisted closure. Also compliance of patient is good in vacuum assisted closure therapy.VAC dressing also provided the wound ready for SSG or flap rotation early as assessed by wound bed score.https://journals.lww.com/10.4103/jotr.jotr_99_22vacdressinginfectionopen woundtotal negative pressure therapy
spellingShingle Neeraj Jain
Ravi Kant Jain
Ajay Sabhnani
To Study the Outcome of Low-Cost Negative-Pressure Wound Therapy Using Wall-Mounted Vacuum Device in the Treatment of Open Wounds
Journal of Orthopedics, Traumatology and Rehabilitation
vac
dressing
infection
open wound
total negative pressure therapy
title To Study the Outcome of Low-Cost Negative-Pressure Wound Therapy Using Wall-Mounted Vacuum Device in the Treatment of Open Wounds
title_full To Study the Outcome of Low-Cost Negative-Pressure Wound Therapy Using Wall-Mounted Vacuum Device in the Treatment of Open Wounds
title_fullStr To Study the Outcome of Low-Cost Negative-Pressure Wound Therapy Using Wall-Mounted Vacuum Device in the Treatment of Open Wounds
title_full_unstemmed To Study the Outcome of Low-Cost Negative-Pressure Wound Therapy Using Wall-Mounted Vacuum Device in the Treatment of Open Wounds
title_short To Study the Outcome of Low-Cost Negative-Pressure Wound Therapy Using Wall-Mounted Vacuum Device in the Treatment of Open Wounds
title_sort to study the outcome of low cost negative pressure wound therapy using wall mounted vacuum device in the treatment of open wounds
topic vac
dressing
infection
open wound
total negative pressure therapy
url https://journals.lww.com/10.4103/jotr.jotr_99_22
work_keys_str_mv AT neerajjain tostudytheoutcomeoflowcostnegativepressurewoundtherapyusingwallmountedvacuumdeviceinthetreatmentofopenwounds
AT ravikantjain tostudytheoutcomeoflowcostnegativepressurewoundtherapyusingwallmountedvacuumdeviceinthetreatmentofopenwounds
AT ajaysabhnani tostudytheoutcomeoflowcostnegativepressurewoundtherapyusingwallmountedvacuumdeviceinthetreatmentofopenwounds