Vacuum-assisted closure therapy and wound coverage in soft tissue injury. Clinical use

被引:20
作者
G. Holle
G. Germann
M. Sauerbier
K. Riedel
H. Von Gregory
M. Pelzer
机构
[1] Klinik für Plastische Chirurgie, Wiederherstellungs- und Handchirurgie, St. Markus-Krankenhaus, Frankfurt/Main
[2] Klinik für Hand-, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum, Universität Heidelberg, Ludwigshafen
[3] Klinik für Hand-, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum, Universität Heidelberg, 67071 Ludwigshafen
来源
Der Unfallchirurg | 2007年 / 110卷 / 4期
关键词
Acute soft tissue defect; Chronic wounds; Long-term treatment; Plastic and reconstructive surgery; VAC therapy;
D O I
10.1007/s00113-007-1265-z
中图分类号
学科分类号
摘要
This study presents the results of a meta-analysis based on the literature dealing with the clinical applications of vacuum-assisted closure (VAC) in the areas of chronic wounds, acute posttraumatic wounds, compartment syndromes, or injuries of the upper extremities. The studies were analysed for validity, significance of conclusion with respect to success rate, publications, and economic efficacy. The data show that with VAC a very valuable technique has been added to an integrated therapeutic concept of soft tissue reconstruction. However, clinical data from prospective randomised trials to support some of the positive aspects seen in the daily clinical application of the technique are still missing. These would create a sound basis demonstrating the economic efficacy of the technique. © 2007 Springer Medizin Verlag.
引用
收藏
页码:289 / 300
页数:11
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