Equis ISSN 2398-2977

Wound: vacuum-assisted closure

Synonym(s): Vacuum-assisted wound closure

Contributor(s): Kim Gemeinhardt, Christine King

Introduction

  • Vacuum-assisted closure (VAC) involves application of subatmospheric pressure to the wound to advance healing.
  • Specific preparation methods are required to use this system on horses.
  • Minimizing movement of the area treated must be considered   Wound: immobilization  .

Uses

  • The VAC system has been used on traumatic wounds and surgical wounds where primary or delayed-primary closure   Wound: primary closure   is not feasible or has failed.
  • The VAC has also enhanced healing skin grafts   Skin: grafting - overview  .

Advantages

  • The VAC shortens healing time dramatically.
  • Discomfort to the patient is minimal.
  • Bandage changes can be done less frequently than with customary techniques.
  • Infection potential is diminished.

Disadvantages

  • Horses must be confined to a stall while the VAC is in use.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good   Wound: vacuum-assisted closure 03 - post-treatment    Wound: vacuum-assisted closure 04 - post-treatment  .

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Gemeinhardt K D (2005) Vacuum-assisted wound closure in the horse. Equine Vet Educ (1), 35-40.


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