The Management of Chronic Wound with Modified Portable Negative Pressure Therapy.

Kim, Jee Soo; Yoon, In Mo; Yoo, Jung Seok

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2008;35(2):223-228.
Published online March 1, 2008.

The Management of Chronic Wound with Modified Portable Negative Pressure Therapy.

Jee Soo Kim, In Mo Yoon, Jung Seok Yoo

Department of Plastic and Reconstructive Surgery, Hanil General Hospital, Seoul, Korea. sdjit@hanmail. net

Abstract

PURPOSE
V.A.C. is a new concept which is closed dressing with negative pressure to promote wound healing. It has been widely used as the treatment of chronic and acute wounds such as pressure sores, burns, stasis ulcers, and other complicated wounds. However It has disadvantages such as high cost and the need of specific equipment. In this article, we described new method to overcome these disadvantages. METHODS: We made newly innovated equipment with 50cc syringe and spring to create negative pressure. From May 2006 to May 2007, we applied it to two patients with chronic wound.
RESULTS
The treatment period was 5 weeks for one case and 3 weeks for the other case. Both patients were healed completely without admission and wound healing was accelerated. During follow-ups, there were no complications. The mean cost for single dressing was 9,590 won.
CONCLUSION
Modified portable negative therapy using newly innovated equipment could accelerate wound healing better than conventional dressing. It lowers the number of dressings, saves cost of treatment, and enables treatment as outpatient basis.

Keywords: Negative pressure therapy; Vacuum assisted closure