Vacuum assisted closure conference presentation

1. EFFECT OF VAC THERAPY
on
WOUNDS MANAGED
with
SKIN GRAFTS
Dr Muhammad Saaiq,
Department of Plastic Surgery,
PIMS, Islamabad.

2. Edwin Smith Papyrus
1600 BC
Breasted D. The Edwin Smith Surgical Papyrus. University of
Chicago: University of Chicago press;1930.

3. Primary/ First Intention
Secondary/ Second Intention
Tertiary/ Third Intention
?
WOUND HEALING
Types

4. HOW DOES THE VAC WORK

5. VACUUM ASSISTED CLOSURE THERAPY

7. THOROUGH WOUND EXCISION:
A MUST BEFORE VAC APPLICATION

8. VAC DRESSING

10. AN ECONOMICAL WAY OF VAC
APPLICATION

11. AN ECONOMICAL WAY OF VAC
APPLICATION

12. ORIGINAL STUDY

13. Study Design:
Randomized Control Trial (RCT) with Single
blinding.
Randomization:
Simple random sample
Objective:
To evaluate the effect of VAC therapy on
wound management outcomes in acute
traumatic wounds undergoing reconstruction
with STSG.

14. Materials and Methods:
Inclusion criteria: 100 patients of either gender over 14, who
had acute traumatic wounds, measuring ≥ 9 cm2 surface area
Exclusion criteria: Patients who needed flap
coverage as the primary intervention, and those with
diabetes, malignancy, bleeding diathesis.
Methodology:
Randomized by lottery method.
Patients were blinded to treatment modality allocation.
Maximum possible matching pairs by wound size, age and sex.
Initial debridement, C/S of wound. !0 days pre-treatment
All patients were treated with STSG. The outcome measures------

15. RESULTS and DISCUSSION

16. REPRESENTATIVE PICTURES OF SOME
VAC TREATED PATIENTS

29. CONCLUSION
&
MESSAGE

30. VAC therapy should be employed in the pre-treatment
of wounds planned to be reconstructed with STSG,
since it has marked advantages in the wound bed
preparation compared with the traditional normal
saline gauze dressings.

31. Thank You