Treatment of Deep Abdominal Wounds Using Negative Pressure

Introduction: Abdominal wall defects may result from trauma, burn, necrotizing soft tissue infection or complications of abdominal surgeries. Reconstruction poses a great challenge for the surgeon in cases of large abdominal wall defects with lack of surrounding tissue. Abdominal wall defects lack a good functional and aesthetic impact and early reconstruction is prudent for better outcomes. This study evaluates the results of Vacuum assisted wound closure (VAC) therapy in patients with large anterior abdominal wall tissue defect which could not be closed primarily otherwise. Material and methods: A ۴۵-year-old patient underwent gastric and intestinal anastomosis surgery, and after that, due to severe inflammation and secretions, it was not possible to close the abdomen and fascia for surgery, and the patient was treated with negative pressure using a special dressing. The main aim of reconstruction in trauma patient is early recovery with minimal complication and better aesthetic appearance with optimal functionality of reconstructed area. Conventional treatment methods such as frequent wet dressing will be painful and protracted. Results: Vacuum assisted wound closure (VAC) therapy has been considered an effective method in wound preparation for early coverage. VAC therapy is a worthwhile adjuvant therapy in the treatment of partial thickness, large abdominal wall soft tissue defect which cannot be primarily closed or covered with flap. It not only facilitates the rapid granulation tissue formation but also controls of infection. Conclusion: Eventually, it reduces the expenses of treatment by decreasing the duration of treatment and hospital stay.

کلیدواژه ها:

Abdominal wall tissue defect ، VAC therapy ، Treatment