Combinación de distintos dispositivos de Terapia V.A.C.® para el cierre de defectos abdominales complejos

Abstract

The negative-pressure therapy Vacuum-Assisted Closure, or V.A.C.® (KCI Clinic Spain SL) has proved to be useful in healing complex abdominal wall wounds, from the acute phase, with open abdomen or large debridement, to the stages of granulation and final defect coverage, thanks to the different types of dressings that can be applied on, even against a possible intestinal exposure with purulent drainage, until default's granulation, and also used together with dermal matrices and /or skin grafts accelerate the closure of the defect in a little harmful and comfortable way to the patient. We present 3 cases of complex abdominal wall wounds in which has been achieved the defects healing combining traditional surgical techniques with different VAC ® therapy dressings (ABThera™, VAC Granu-Foam™, VAC GranuFoam Silver® and VAC® dressing WhiteFoam).