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Vacuum sealing drainage therapy in the presence of an external fixation device

View Article: PubMed Central - PubMed

ABSTRACT

Rationale:: Vacuum sealing drainage (VSD) is widely utilized for treating traumatic wounds.

Patient concerns:: It is particularly difficult and time consuming to use in combination with an external fixator.

Diagnoses:: This is because the hardware or pins used for fixation interfere with maintaining a seal, resulting in poor adhesion and subsequent air leakage.

Interventions:: To resolve this problem, we have devised a new method for sealing the wound dressing, while maintaining the required vacuum.When using this technique, a rubber strip is wrapped around each pin in 3 circles outside the plastic drape, and then tightly tied.

Outcomes:: After completing this procedure, a vacuum is obtained, and any air leakage stops. We employed this technique to treat a cohort of patients in our department over a period of two years, and obtained good healing of soft tissue without air leakage, as well as good clinical outcomes.

Lessons:: We have observed that patients treated with this method experienced good clinical outcomes without air leakage, and we recommend its use in treating cases where an external fixation device is present.

No MeSH data available.


Related in: MedlinePlus

After carefully cleaning the wound edges and bed, foam from the VSD device is cut to the dimensions of the wound and applied directly onto the wound and around the pins used for fixation. VSD = vacuum sealing drainage.
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Figure 1: After carefully cleaning the wound edges and bed, foam from the VSD device is cut to the dimensions of the wound and applied directly onto the wound and around the pins used for fixation. VSD = vacuum sealing drainage.

Mentions: After carefully cleaning the wound edges and bed, foam from the VSD device is cut to the dimensions of the wound and applied directly onto the wound and around the pins used for fixation (Fig. 1). Next, an adhesive plastic drape is wrapped around the pins to cover the foam without creating tension (Fig. 2). The tubing on the VSD device is then attached to a vacuum-assisted closure pump used to assess the dressing for air leakage after the wound is fully covered. In most cases, some amount of air is detected around the pins. Next, a rubber strip is wrapped 3 times around each pin outside the plastic drape, and tightly tied (Fig. 3). After completing this procedure, a vacuum is obtained, and any air leakage stops.


Vacuum sealing drainage therapy in the presence of an external fixation device
After carefully cleaning the wound edges and bed, foam from the VSD device is cut to the dimensions of the wound and applied directly onto the wound and around the pins used for fixation. VSD = vacuum sealing drainage.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5120950&req=5

Figure 1: After carefully cleaning the wound edges and bed, foam from the VSD device is cut to the dimensions of the wound and applied directly onto the wound and around the pins used for fixation. VSD = vacuum sealing drainage.
Mentions: After carefully cleaning the wound edges and bed, foam from the VSD device is cut to the dimensions of the wound and applied directly onto the wound and around the pins used for fixation (Fig. 1). Next, an adhesive plastic drape is wrapped around the pins to cover the foam without creating tension (Fig. 2). The tubing on the VSD device is then attached to a vacuum-assisted closure pump used to assess the dressing for air leakage after the wound is fully covered. In most cases, some amount of air is detected around the pins. Next, a rubber strip is wrapped 3 times around each pin outside the plastic drape, and tightly tied (Fig. 3). After completing this procedure, a vacuum is obtained, and any air leakage stops.

View Article: PubMed Central - PubMed

ABSTRACT

Rationale:: Vacuum sealing drainage (VSD) is widely utilized for treating traumatic wounds.

Patient concerns:: It is particularly difficult and time consuming to use in combination with an external fixator.

Diagnoses:: This is because the hardware or pins used for fixation interfere with maintaining a seal, resulting in poor adhesion and subsequent air leakage.

Interventions:: To resolve this problem, we have devised a new method for sealing the wound dressing, while maintaining the required vacuum.When using this technique, a rubber strip is wrapped around each pin in 3 circles outside the plastic drape, and then tightly tied.

Outcomes:: After completing this procedure, a vacuum is obtained, and any air leakage stops. We employed this technique to treat a cohort of patients in our department over a period of two years, and obtained good healing of soft tissue without air leakage, as well as good clinical outcomes.

Lessons:: We have observed that patients treated with this method experienced good clinical outcomes without air leakage, and we recommend its use in treating cases where an external fixation device is present.

No MeSH data available.


Related in: MedlinePlus