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OUR EXPERIENCE WITH NEGATIVE PRESSURE WOUND THERAPY, AN USEFUL RECONSTRUCTIVE TOOL IN WOUND MANAGEMENT

RAJESWARI B BALAKRISHNAN

Abstract


Some wounds may be difficult to manage
despite the options of skin grafting, local
flaps or microvascular free tissue transfers.
Some patients may not be the candidates
for these procedures. Some
wound beds are not amenable for these
treatments because of poor wound beds
and inadequate granulation. Argenta et
al first described a vaccum-assisted closure.
This method of wound care promotes
granulation, promotes wound contracture,
and decreases bacterial count.
This method is successful even in treating
grade III B open fractures that may
have required a local muscle flap or a
microvascular free tissue transfer. The
significant improvement in the wound
bed, however makes the reconstructive
procedure easier. We tried this method in
our patients with acute and chronic
wounds, where immediate reconstruction
was not able to apply for varied reasons,
both local and systemic. We found this
as a useful tool for the
treatment of variety of wounds to achieve
early closure with less hospital stay, cost,
and less morbidity


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