The document discusses vacuum-assisted closure (VAC) therapy, a system that uses controlled negative pressure to promote wound healing. It provides an overview of how VAC works, its mechanisms of action including increased blood flow and reduced bacteria, appropriate applications, contraindications, and how to apply the system. Key benefits are that VAC converts complicated wounds into simpler wounds to prepare for the next step of reconstruction.

1. Healing the Wound - The VAC System In Woundcare Dr.Anshul Govila MS MRCS(Edin) Dept of Plastic Surgery . SKMC

6. A Dirty Wound

7. Debridement

8. A slowly healing wound

9. A traditional dressing

10. the way it works

11. A change of dressing

12. With the VAC on

13. Principle

22. Acute Surgical Wounds Pressure Ulcers Diabetic Wounds

23. Open Abdominal Wounds

27. A Very simple Analogy Pump Canister Sponge Pump Canister Sponge

28. Pump

35. Clean Wound Thoroughly Aggressive cleaning of the wound at each dressing change is imperative to decrease bacterial load and minimize odor

36. Cut Foam Cut the foam to fit the size and shape of the wound, including tunnels and undermined areas

37. Lay Foam in Wound Gently place the foam into the wound cavity, covering the entire wound base and sides, tunneling and undermining

38. Cut the Drape Cut the drape large enough to cover the foam and 3-5 cm of surrounding healthy tissue with drape.

39. Applying the Drape Apply the drape beginning on one side of the foam, toward the tubing. Do not stretch the drape and do not compress the foam into the wound with drape. This helps minimize tension or shearing forces on periwound tissue.

40. Foam and Drape Important: Foam should not overlap on to intact skin.

41. Applying the suction tubing Cut hole in drape about 1.5 cm and apply tubing

42. Applying the suction tubing

43. Connect to Canister Connect dressing tubing to canister tubing, making sure clamps are open

44. Y-Connecting A Y-connector is available to connect 2 or more wounds to one V.A.C. pump

45. V.A.C. Canister Canister has graduated marks to measure exudate. Change at least once per week or when full.

46. Canister with Isolyser Canister comes with Isolyser gel that gels fluid on contact and helps eliminate odor

47. Dressing in Place with Therapy OFF

48. Dressing with Therapy ON Therapy is turned on and foam is pulled down into wound

53. Battery Back-Up V.A.C. can run off an internal battery. Clips to the end of bed or IV pole.

57. Bridging Practical Tips:

60. Abdomen

61. Exposed metal

62. In Burns

63. With the application of Integra TM

65. Thank you

66. Abdullah enjoying his wheelchair ride with his VAC on