VAC therapy has emerged as a novel adjunct to wound management over the last decade. It works by removing edema and inhibitory factors from wounds, reducing bacterial counts, and improving healing through increased blood flow, granulation tissue formation, and angiogenesis. VAC therapy finds applicability in many wound types by preparing wounds for reconstruction and securing skin grafts. It provides an economical alternative to other treatments and can help expedite healing and reduce hospital stays. However, VAC therapy is an adjunct and not a substitute for thorough debridement and other established wound care measures.
Therapeutic Options in Perforative Peritonitis KETAN VAGHOLKAR
Perforative peritonitis continues to be a challenging surgical problem. A prompt diagnosis, proper preparation followed by the optimum choice of surgical option can only keep the morbidity and mortality associated with this condition to a minimum.
Vacuum Assisted Closure (VAC): A Promising Therapeutic Tool for Enterocutaneo...KETAN VAGHOLKAR
Managing an enterocutaneous fistula continues to pose the greatest challenge to the general surgeon. Aggressive supportive care is pivotal in managing these patients. Vacuum assisted closure (VAC) therapy is a promising therapeutic tool for such patients. It undoubtedly helps in closure of the fistula thus avoiding the high morbidity and mortality associated with surgical intervention. A case of a complex enterocutaneous fistula treated by VAC therapy is presented.
Therapeutic Options in Perforative Peritonitis KETAN VAGHOLKAR
Perforative peritonitis continues to be a challenging surgical problem. A prompt diagnosis, proper preparation followed by the optimum choice of surgical option can only keep the morbidity and mortality associated with this condition to a minimum.
Vacuum Assisted Closure (VAC): A Promising Therapeutic Tool for Enterocutaneo...KETAN VAGHOLKAR
Managing an enterocutaneous fistula continues to pose the greatest challenge to the general surgeon. Aggressive supportive care is pivotal in managing these patients. Vacuum assisted closure (VAC) therapy is a promising therapeutic tool for such patients. It undoubtedly helps in closure of the fistula thus avoiding the high morbidity and mortality associated with surgical intervention. A case of a complex enterocutaneous fistula treated by VAC therapy is presented.
Preoperative assessment is essential for unearthing concomitant or comorbid conditions which may be surgical or medical in nature.The article provides guidelines for assessment.
the entire science of surgery is based on the process of wound healing. Understanding the mechanisms is therefore extremely important in the management of different types of wounds. The article provides a brief review of the various aspects of wound healing.
Chronic and recurrent appendicitis are definite clinical entities and should be considered in the differential diagnosis of chronic lower abdominal pain.
Surgical drains serve as a very important tool in the management of surgical patients. There are avarity of drains each of which function on a different principle. Understanding the principles enables one to make aproper selection thereby achieving the purpose.
Wound Management in Domiciliary Palliative Care wan zuraini
Basic teaching on wound management seen in home care / domiciliary palliative care in Malaysia. Spesifically describe management of pressure ulcer at home.
Haemorrhoids is one of the commonest cause of lower GI bleed. Understanding the pathophysiology is important for planning a successful treatment. A thorough check up is essential before offering surgical treatment as this condition could herald the presense of a malignant lesion higher up.
Implant stability plays a critical role for successful osseointegration, which has been viewed as a direct structural and functional connection existing between bone and the surface of a load-carrying implant. Achievement and maintenance of implant stability are prerequisites for successful clinical Outcome. Therefore, measuring the implant stability is an important method for evaluating the success of an implant. The aim of this clinical study was to measure the implant stability quotient using a method called resonance frequency analysis of dental implants during the healing period.
Material and methods: A number of 43 patients received 152 Shark AL-Technology implant system either in the maxillary or in the mandibular arch. Implant stability was measured with an Osstell Mentor device (Osstel, AB, Sweden) using the resonance frequency analysis at the time of implant placement, 0, 2, 4, 8 and 12 weeks post insertion.
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
All manuscripts are subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication in another journal) will be published without delay
Our new programmable CCNPWT system delivers controlled negative pressure in the wound site to accelerate healing process. The system delivers continuous, variable and intermittent therapy settings for effective therapy goals. The fully loaded system with safety parameters for leakage, blockage, canister full and system inactive conditions. The robust system has been designed light just about 950gms for mobile patients with a very user friendly operation menu.
Nutrition is a very important factor which affects surgical outcome.A careful assessment is essential before contemplating any GI procedure.The whole process of healing depends upon the quality of nutritional support given to the patient. The presentation provides aoverview of the importanat role of nutrition.
Preparation of the surgeon's hands is an integral part of preoperative preparation. Adequate disinfection of the hand that is operating is a very important aspect of the aseptic ritual. It is equally important to decide which is the best disinfectant to use.
Preoperative assessment is essential for unearthing concomitant or comorbid conditions which may be surgical or medical in nature.The article provides guidelines for assessment.
the entire science of surgery is based on the process of wound healing. Understanding the mechanisms is therefore extremely important in the management of different types of wounds. The article provides a brief review of the various aspects of wound healing.
Chronic and recurrent appendicitis are definite clinical entities and should be considered in the differential diagnosis of chronic lower abdominal pain.
Surgical drains serve as a very important tool in the management of surgical patients. There are avarity of drains each of which function on a different principle. Understanding the principles enables one to make aproper selection thereby achieving the purpose.
Wound Management in Domiciliary Palliative Care wan zuraini
Basic teaching on wound management seen in home care / domiciliary palliative care in Malaysia. Spesifically describe management of pressure ulcer at home.
Haemorrhoids is one of the commonest cause of lower GI bleed. Understanding the pathophysiology is important for planning a successful treatment. A thorough check up is essential before offering surgical treatment as this condition could herald the presense of a malignant lesion higher up.
Implant stability plays a critical role for successful osseointegration, which has been viewed as a direct structural and functional connection existing between bone and the surface of a load-carrying implant. Achievement and maintenance of implant stability are prerequisites for successful clinical Outcome. Therefore, measuring the implant stability is an important method for evaluating the success of an implant. The aim of this clinical study was to measure the implant stability quotient using a method called resonance frequency analysis of dental implants during the healing period.
Material and methods: A number of 43 patients received 152 Shark AL-Technology implant system either in the maxillary or in the mandibular arch. Implant stability was measured with an Osstell Mentor device (Osstel, AB, Sweden) using the resonance frequency analysis at the time of implant placement, 0, 2, 4, 8 and 12 weeks post insertion.
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
All manuscripts are subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication in another journal) will be published without delay
Our new programmable CCNPWT system delivers controlled negative pressure in the wound site to accelerate healing process. The system delivers continuous, variable and intermittent therapy settings for effective therapy goals. The fully loaded system with safety parameters for leakage, blockage, canister full and system inactive conditions. The robust system has been designed light just about 950gms for mobile patients with a very user friendly operation menu.
Nutrition is a very important factor which affects surgical outcome.A careful assessment is essential before contemplating any GI procedure.The whole process of healing depends upon the quality of nutritional support given to the patient. The presentation provides aoverview of the importanat role of nutrition.
Preparation of the surgeon's hands is an integral part of preoperative preparation. Adequate disinfection of the hand that is operating is a very important aspect of the aseptic ritual. It is equally important to decide which is the best disinfectant to use.
Negative Pressure Wound Therapy also widely known as NPWT, WOUND VAC or TNP(Tropical Negative Pressure) is a widely accepted advanced wound management modality today
Negative pressure wound therapy: A promising weapon in the therapeutic wound ...KETAN VAGHOLKAR
Negative pressure wound therapy or vacuum assisted wound therapy is an excellent therapeutic option for chronic wounds which are just refusing to heal. The principles and practical applications of this optio are discussed in the article.
Triage Meditech is one of the leading Indian medical technology companies acquired a respectable position in Advanced Wound Care arena. We are the leading manufacturers and suppliers of Negative Pressure Wound Therapy (NPWT) products in Indian subcontinent. We have further enhanced our portfolio with Advance Wound Dressings, Colostomy Products, Solutions for Venous Insufficiency, and Surgical Disposables and Consumables. Our R&D team is dedicated to continuous advancement in offerings to create effective products at an affordable cost and helping healthcare professionals and caregivers to offer best practice solutions to their patients. Triage Meditech is an ISO 9001:2008, 13485:2003 certified and DCGI regulated company. We follow WHO Good Manufacturing Practice (GMP) and our products are CE Certified. We have Pan India presence through direct and dealers network and currently we export our products to more than 11 countries.
Content server (10)A randomized, controlled, double-blind prospective trial w...Missing Man
A randomized, controlled, double-blind prospective trial
with a Lipido-Colloid Technology-Nano-OligoSaccharide
Factor wound dressing in the local management of
venous leg ulcers
Case study: A non healing wound treated with hyperbaric oxygen therapyApollo Hospitals
Problem wounds represent a significant and growing challenge to our healthcare system. The incidence and prevalence of these wounds are increasing in the population resulting in growing utilization of healthcare resources. These problem wounds may arise from excessive pressure, trauma, venous insufficiency, diabetes mellitus, vascular disease, or prolonged immobilization leading to its difficult management with significant increases in cost, disability, and liability. Healing of such wounds is a dynamic pathway requiring the presence of oxygen for optimal restoration of tissue integrity and function needs good building blocks for repair and a good transport system to get the building blocks to the site of action. Hyperbaric oxygen therapy (HBOT) is used as a therapeutic modality which leads to an increase in tissue oxygen pressures at the wound site and hence allowing the reversal of a hypoxic state by increasing the oxygen diffusion within the plasma, consequently promoting angiogenesis, encouraging fibroblastic activity and supporting the tissues to resist against bacteria. It is used as an adjunctive treatment to enhance best-practice wound care and employing HBOT in a directed and appropriate way can significantly enhance wound healing efforts. We review a case of 17 year old girl with Grade I pressure ulcer over her right heel since 6 years and role of hyperbaric oxygen therapy as an adjunctive for its management.
A physician led bedside wound care program in post acute care reduces wound related hospitalizations, infections, and amputations over 85% and saves Medicare over $19,000 per patient.
Low back pain remains the common reason to see the doctors in the clinics and in United states
it remains the second most common reason to see neurosurgeon or orthopedic doctor in their respective outpatient departments. However as the presentation is common so is the surgery for the
disease is common and as with all surgeries this also carries a small risk of complications. Bowel
perforation is a rare yet documented complication following a spinal surgery and in our case it was
diagnosed within 18 hours of the laminectomy which was performed via left sided anterolateral
approach
EVALUATION OF ABSORBABLE AND NON-ABSORBABLE SUTURES IN A COHORT STUDYAnil Haripriya
Suturing has been used all the way through the ages to assist healing of human tissues by wound closure. Earlier, animal fibers were used as thread and the needles were fashioned from animal bone or bits of metal. Nowadays, sterilized sutures have mostly replaced these materials but the essential principles remain the same.[13]
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
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Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
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Vac therapy a valuable adjunct to wound care armamentarium
1. VAC Therapy: A valuable adjunct to wound care armamentarium? Muhammad Saaiq
Editorial
VAC Therapy: A Valuable Adjunct
to Wound Care Armamentarium
Muhammad Saaiq
Assistant Professor
Plastic surgery and Burn Care
Centre, PIMS, Islamabad.
E-mail
muhammadsaaiq5@gmail.com
Medicine is an ever evolving science. The present day
medicine is termed as evidence based medicine
wherein practice and policies are guided by sound
clinical and experimental evidence supporting the
benefits and safety of a given therapeutic modality. Over
the last decade, Vacuum Assisted Closure therapy
(VAC therapy) has emerged as a novel adjunct to the
management of surgical wounds across a range of
specialties. 1-3
How does the VAC therapy work?
Since the technique is relatively new, its exact
mechanism of action still continues to be researched. A
variety of interrelated factors have been identified to
account for its favorable effects on wound healing.
These factors can be summarized into three subgroups
i.e. removing, reducing and Improving. Firstly the
edematous tissue planes surrounding the wound are
characterized by localized collection of interstitial fluid
that contains inhibitory factors that suppress mitosis,
fibroblasts activity, collagen production, and cell growth.
The VAC therapy actively withdraws this fluid and its
constituent inhibitory factors. Secondly the VAC
therapy reduces the bacterial counts of the wound to a
level far lower than what can cause infection. Thirdly
VAC therapy improves the entire healing process
through its direct and indirect effects. With removal of
local edema, the microcirculation and lymphatic/ venous
drainage is reestablished. The delivery of oxygen and
nutrients to the wound is optimized. The
micromechanical forces of low pressure suction exerts
an Ilizarovian effect at cellular level, resulting in
increased expression of mRNA and protein synthesis.
There is increased Angiogenesis. The moist
environment provided by VAC technique promotes
granulation tissue formation and healing. 4-6
The wound
if small is thus encouraged to close spontaneously.
Larger and complex wounds are rendered suitable for
definitive reconstruction with skin graft or flap.
How can the VAC therapy be applied
to a wound? Not surprisingly with growing
understanding of the mechanism involved, one can
easily construct a VAC dressing at bed side and
convert an open wound into a close controlled one.
Before its application to the wound, once must make
sure that wound is first adequately debrided with
excision of all devitalized tissues. Two sheets of
synthetic foam are then tailored the size and shape of
the wound and the wound is covered with them with a
Redivac suction drain placed between the two sheets.
A transparent sealing plastic membrane sheet such as
Opsite or plastic food wrap is then applied to the foam
layers, making the system water tight and air tight. The
suction drain is connected to Suction machine or wall
vacuum suction maintained at 50-120 mmHg. It is
maintained for five days, at which point the VAC
dressing is removed. A fresh VAC dressing may be
applied for another five days and the wound re-
evaluated for further definitive management. 1
What kind of wounds are suitable for
VAC therapy? In fact the VAC therapy finds
almost universal applicability across a range of wounds,
with only few contraindications such as malignancy,
bleeding diathesis and exposed major blood vessels.
When employed, VAC therapy helps to temporize
wounds, giving time for stabilization of the patient until
complex reconstructive procedures can be instituted on
a prepared wound bed. It is effective both in the
preparatory phase of wound prior to any reconstruction
and as postoperative dressings for securing skin grafts
especially in wounds on difficult anatomic locations. 1, 7-10
Owing to its low cost, VAC therapy provides an
economical alternative to the other available costly local
wound management measures. Such economic
implications of wound management are particularly
important in the context of our limited health budgets. It
also reduces the need for daily change of dressing thus
comforting the patients on one hand and reducing the
work load of the staff responsible for wound dressings
on the other hand. With expeditious wound healing, the
overall hospital stay of the patients is also reduced. 1
Given the growing body of quality evidence, VAC
therapy should be adequately employed particularly in
the problem wounds and in the problem patients such
as those with diabetes mellitus and peripheral vascular
disease. Nonetheless once must not forget that it is an
adjunct to other established wound care measures such
as thorough debridement and not a substitute for them.
Ann. Pak. Inst. Med. Sci. 2006; 2(1): 72
2. VAC Therapy: A valuable adjunct to wound care armamentarium? Muhammad Saaiq
References
1. Saaiq M, Din HU, Khan MI, Chaudhery SM. Vacuum-assisted closure
therapy as a pretreatment for split thickness skin grafts. J Coll
Physicians Surg Pak. 2010; 20(10):675-9.
2. Baillot R, Cloutier D, Montalin L. Impact of deep sternal wound
infection management with vacuum-assisted closure therapy followed
by sternal osteosynthesis: a 15-year review of 23,499 sternotomies.
Eur J Cardiothorac Surg. 2010; 37(4):880-7.
3. Blume P, Walters J, Payne W. Comparison of negative pressure
wound therapy using vacuum-assisted closure with advanced moist
wound therapy in the treatment of diabetic foot ulcers: a multicenter
randomized controlled trial. Diabetes Care 2008; 31(4):631-6.
4. Morris GS, Brueilly KE, Hanzelka H. Negative pressure wound therapy
achieved by vacuum-assisted closure: evaluating the assumptions.
Ostomy Wound Manage. 2007; 53: 52–7.
5. Ubbink DT, Westerbos SJ, Nelson EA, Vermeulen H. A systematic
review of topical negative pressure therapy for acute and chronic
wounds. Br J Surg. 2008;95(6):685-92.
6. Saxena V, Hwang CW, Huang S, Eichbaum Q, Ingber D, Orgill DP.
Vacuum-assisted closure: microdeformations of wounds and cell
proliferation. Plast Reconstr Surg 2004; 114:1086-96.
7. Penn-Barwell JG, Fries CA, Street L, Jeffery S. Use of topical negative
pressure in British servicemen with combat wounds. ePlasty 2011;11:
354-63.
8. Nather A, Chionh SB, Han AYY,1 Chan PPL, Nambiar A. Effectiveness
of Vacuum-assisted Closure (VAC) Therapy in the Healing of Chronic
Diabetic Foot Ulcers. Ann Acad Med 2010 ;39 ( 50): 353-8.
9. Stannard JP, Volgas DA, Stewart R, McGwin G, Alonso JE. Negative
pressure wound therapy after severe open fractures: a prospective
randomized study. J Orthop Trauma. 2009;23(8):552-7.
10. Petkar KS, Dhanraj P, Kingsly PM, Sreekar H, Lakshmanarao A,
Lamba S, et al. A prospective randomized controlled trial comparing
negative pressure dressing and conventional dressing methods on
split thickness skin grafts in burned patients. Burns 2011;37:925-9.
1.
Ann. Pak. Inst. Med. Sci. 2006; 2(1): 73