R.Ceccarino, A. Scotto di Luzio, G. De Maria, S. Taglialatela Scafati, A. Mele, P.A. D’Amato

1. DEPARTMENT OF
TRAUMATHOLOGY
S. Maria Delle Grazie Hospital
Pozzuoli (Naples) Italy
Director P.A. D’Amato M.D.
The treatment of difficult wound
with V.A.C. therapy before
surgery
R.Ceccarino, A. Scotto di Luzio, G. De Maria, S.
Taglialatela Scafati, A. Mele, P.A. D’Amato

3. wound of the
medial side of the
left ankle with
bone’s lost.

4. wound of the
posterior side of the
leg with lost of
Achilleum tendon
and severe infection
of the soft tissue

5. V.A.C. therapy for ten days

7. Intraoperatory
view

8. Final result after two months

9. A.L.T. free flap

10. Final result after one month

11. The treatment of difficult wounds with V.A.C. therapy
before surgery have had better results than only
surgery beacuse it let us prepare the bed for insetting
the flap. In this way the postoperative follow-up
showed us a faster healing without any complications