Vacuum therapy in the care of a purulent wound: a literature review
https://doi.org/10.17238/2072-3180-2023-4-104-111
Abstract
Introduction. Currently, the use of the method of vacuum therapy of wounds of various etiologies and localization is becoming more and more popular. Many studies have been conducted proving the positive effect of this method on the course of the wound process, but it has not acquired the status of the method of choice/standard in surgical practice.
The purpose of the study. To analyze the contradictory results of wound therapy with local negative pressure in comparison with traditional care.
Materials and methods of research. The databases were searched for randomized controlled trials and reviews comparing postoperative treatment of purulent wounds with standard methods and negative pressure for the period 1993-2021. In the course of the analysis, a number of research methods were applied: historical, descriptive-analytical, Internet and content analysis. The results of the study. Currently, the VAC device is used as a universal tool in the arsenal of wound healing, in addition, they act as an additional resource in patients with a comorbid background. This method of treatment is applicable on anatomically complex wound surfaces, which distinguishes it from others. The use of vac therapy is associated with the occurrence of a number of complications, but the frequency of their occurrence is very insignificant, which makes it safe to consider it.
Conclusion. Vac therapy is a promising and effective method of treating wounds of various etiologies, course and localization, favorably differing from other methods with a low incidence of complications, high efficiency, the possibility of application in anatomically complex areas and a reduction in the cost of therapy.
About the Authors
T. V. Gayvoronskaya
Department of Surgical Dentistry and Maxillofacial Surgery of the Kuban State Medical University of the Ministry of Health of Russia
Russian Federation
Russian Federation
Gaivoronskaya Tatiana Vladimirovna – Doctor of Medical Sciences, Professor, Head
350063, Mitrofan Sedin str., 4, Krasnodar
O. V. Gulenko
Department of Surgical Dentistry and Maxillofacial Surgery of the Kuban State Medical University of the Ministry of Health of Russia
Russian Federation
Russian Federation
Gulenko Olga Vladimirovna – Doctor of Medical Sciences, Professor
350063, Mitrofan Sedin str., 4, Krasnodar
I. S. Novikova
Department of Surgical Dentistry and Maxillofacial Surgery of the Kuban State Medical University of the Ministry of Health of Russia
Russian Federation
Russian Federation
Novikova Irina Sergeevna – Senior Laboratory Assistant
350063, Mitrofan Sedin str., 4, Krasnodar
References
1. Suissa D., Danino A., Nikolis A. Negative-pressure therapy versus standard wound care: a meta-analysis of randomized trials. Plast Reconstr Surg, 2011, 128(5), pp. 498e–503e. https://doi.org/10.1097/prs.0b013e31822b675c
2. Prokhorov A.V. A modern look at Fournier’s gangrene. TMJ, 2017, № 1, pp. 5–9. https://doi.org/10.17238/PmJ1609-1175.2017.1.5-9 (in Russ.)
3. Rezende-Neto J.B., Camilotti B.G. New non-invasive device to promote primary closure of the fascia and prevent loss of domain in the open abdomen: a pilot study. Trauma Surg Acute Care Open, 2020, № 5(1), рр. e000523. https://doi.org/10.1136/tsaco-2020-000523
4. Albayati W.K., Youha S.A., Ali A.A., Fakhra Z. A Randomized Controlled Trial to Assess the Cost-effectiveness of a Novel, Simple Modification to the Negative Pressure Wound Therapy System. Plast Reconstr Surg Glob Open, 2021, № 9 (8), рр. e3787. https://doi.org/10.1097/GOX.0000000000003787
5. Fleck T., Gustafsson R., Harding K., Ingemansson R., Lirtzman M.D., Meites H.L., Moidl R., Price P., Ritchie A., Salazar J., Sjögren J., Song D.H., Sumpio B.E., Toursarkissian B., Waldenberger F., Wetzel-Roth W. The management of deep sternal wound infections using vacuum assisted closure (V.A.C.) therapy. Int Wound J., 2006, № 3(4), pp. 273–280. https://doi.org/10.1111/j.1742-481X.2006.00273.x
6. Naghavi A.O., Gonzalez R.J., Scott J.G., Mullinax J.E., Abuodeh Y.A., Kim Y., Binitie O., Ahmed K.A., Bui M.M., Saini A.S., Zager J.S., Biagioli M.C., Letson D., Harrison L.B., Fernandez D.C. Implications of staged reconstruction and adjuvant brachytherapy in the treatment of recurrent soft tissue sarcoma. Brachytherapy, 2016, № 15 (4), pp. 495–503. https://doi.org/10.1016/j.brachy.2016.03.013
7. Ji S., Liu X., Huang J., Bao J., Chen Z., Han C., Hao D., Hong J., Hu D., Jiang Y., Ju S., Li H., Li Z., Liang G., Liu Y., Luo G., Lv G., Ran X., Shi Z., Tang J., Wang A., Wang G., Wang J., Wang X., Wen B., Wu J., Xu H., Xu M., Ye X., Yuan L., Zhang Y., Xiao S., Xia Z. Consensus on the application of negative pressure wound therapy of diabetic foot wounds. Burns Trauma, 2021, № 9, рр. tkab018. https://doi.org/10.1093/burnst/tkab018
8. Tsyuryupa V.N., Vlasova I.V., Zobnina A.V. Modern aspects of screening diagnostics of diabetic polyneuropathy and angiopathy of the lower extremities in patients with type 2 diabetes mellitus. Polytrauma, 2010, № 1. URL: https://cyberleninka.ru/article/n/sovremennye-aspekty-skrinningovoy-diagnostiki-diabeticheskoy-polineyropatii-i-angiopatii-nizhnih-konechnostey-u-bolnyh-saharnym (date of application: 14.11.2023). (In Russ.)
9. Mukushev M.M., Zhumabaev M.N., Nurmanov K.Zh., Abdi Zh.O., Nurbayeva D.S. Modern methods of local treatment of wounds in diabetic foot syndrome. Caspian Bulletin of Medicine and Pharmacy, 2021, № 3. URL: https://cyberleninka.ru/article/n/sovremennye-metody-mestnogolecheniya-ran-pri-sindrome-diabeticheskoy-stopy (date of application: 14.11.2023). (In Russ.)
10. Santosa K.B., Keller M., Olsen M.A., Keane A.M., Sears E.D., Snyder-Warwick A.K. Negative-Pressure Wound Therapy in Infants and Children: A Population-Based Study. J Surg Res, 2019, 235, pp. 560–568. https://doi.org/10.1016/j.jss.2018.10.043
11. Popov A.N., Yachevskaya S.A. Experience of successful treatment of a patient with extensive and deep lacerated wounds of the trunk and limbs caused by a dog. Wounds and wound infections. Journal named after Professor B.M. Kostyuchenka, 2021, № 2. URL: https://cyberleninka.ru/article/n/opyt-uspeshnogo-lecheniya-patsientki-s-obshirnymi-i-glubokimi-rvanoukushennymi-ranami-tulovischa-i-konechnostey-prichinennymi (date of application: 14.11.2023). (In Russ.)
12. Manakov V.A., Savelyev A.L. Schematic diagram of the use of a drainage-vacuum system in the treatment of patients with phlegmon of the maxillofacial region. Proceedings of the Samara Scientific Center of the Russian Academy of Sciences, 2014, № 5–4. URL: https://cyberleninka.ru/article/n/printsipialnaya-shema-ispolzovaniya-drenazhno-vakuumnoysistemy-v-lechenii-bolnyh-s-flegmonami-chelyustno-litsevoy-oblasti (date of application: 14.11.2023). (In Russ.)
13. Kabanova A.A., Pokhodenko-Chudakova I.O. Complex treatment of acute odontogenic osteomyelitis of the jaw complicated by phlegmon of adjacent cellular spaces. Modern Dentistry, 2019, № 2 (75). URL: https://cyberleninka.ru/article/n/kompleksnoe-lechenie-ostrogo-odontogennogoosteomielita-chelyusti-oslozhnennogo-flegmonoy-prilezhaschih-kletchatochnyh-prostranstv (date of application: 14.11.2023). (In Russ.)
14. Nolff M.C. Filling the vacuum: Role of negative pressure wound therapy in open wound management in cats. J Feline Med Surg, 2021, № 23 (9), pp. 823–833. https://doi.org/10.1177/1098612X211037873
15. Chen S.Z., Li J., Li X.Y., Xu L.S. Effects of vacuum-assisted closure on wound microcirculation: an experimental study. Asian J Surg, 2005, № 28 (3), pp. 211–217. https://doi.org/10.1016/S1015-9584(09)60346-8.
16. Levchuk A.L., Sysoev O.Yu., Stoiko Yu.M. Application of the method of local negative pressure in the treatment of patients with infected mesh endoprostheses after hernioplasty. Bulletin of the National Medical and Surgical Center named after N. I. Pirogov, 2020, № 4. URL: https://cyberleninka.ru/article/n/primenenie-metoda-lokalnogo-otritsatelnogo-davleniyav-lechenii-patsientov-s-infitsirovannymi-setchatymi-endoprotezami-posle (date of application: 14.11.2023). (In Russ.)
17. Haidari S., IJpma F.F.A., Metsemakers W.J., Maarse W., Vogely H.C., Ramsden A.J., McNally M.A., Govaert G.A.M. The Role of Negative-Pressure Wound Therapy in Patients with Fracture-Related Infection: A Systematic Review and Critical Appraisal. Biomed Res Int, 2021, рр. 7742227. https://doi.org/10.1155/2021/7742227
18. Obolensky V.N., Ermolov A.A. The method of local negative pressure in the prevention and treatment of wound infections (literature review). Medical Alphabet, 2017, № 1 (5), pp. 49–52. (In Russ.)
19. Chasnoyt A.Ch., Zhilinsky E.V., Serebryakov A.E., Leshchenko V.T. Mechanisms of action of vacuum therapy of wounds. International Reviews: Clinical Practice and Health, 2015, № 4 (16). URL: https://cyberleninka.ru/article/n/mehanizmy-deystviya-vakuumnoy-terapii-ran (date of application: 14.11.2023). (In Russ.)
20. Doronina L.P., Tokmakova A.Yu. Application of vacuum therapy in patients with diabetic foot syndrome. Based on the materials of the 3rd World Congress on Wound Healing, Toronto, June 4–8, 2008. Diabetes Mellitus, 2009, № 12 (1), pp. 67–70. https://doi.org/10.14341/2072-0351-5427 (in Russ.)
21. Normandin S., Safran T., Winocour S., Chu C.K., Vorstenbosch J., Murphy A.M., Davison PG. Negative Pressure Wound Therapy: Mechanism of Action and Clinical Applications. Semin Plast Surg, 2021, № 35 (3), pp. 164–170. https://doi.org/10.1055/s-0041-1731792
22. Tang S.Y., Chen S.Z., Hu Z.H., Song M., Cao D.Y., Lü X.X. Influence of vacuum-assisted closure technique on expression of Bcl-2 and NGF/ NGFmRNA during wound healing. Zhonghua Zheng Xing Wai Ke Za Zhi, 2004, № 20 (2), pp. 139–142.
23. Zhou M., Yu A., Wu G., Xia C., Hu X., Qi B. Role of different negative pressure values in the process of infected wounds treated by vacuum-assisted closure: an experimental study. International Wound Journal, 2013, № 10 (5), pp. 508–115. https://doi.org/10.1111/j.1742-481X.2012.01008.x
24. Al Fadhli A., Alexander G., Kanjoor J.R. Versatile use of vacuum-assisted healing in fifty patients. Indian J Plast Surg, 2009, № 42 (2), pp. 161–168. https://doi.org/10.4103/0970-0358.59273
25. Bogdanov K.D., Kuznetsova N.S. The effectiveness of vacuum therapy in the preparation of chronic wounds for autodermoplasty. FORCIPE, 2020, № S. URL: https://cyberleninka.ru/article/n/effektivnost-vakuumterapii-pri-podgotovke-hronicheskih-ran-k-autodermoplastike (date of application: 14.11.2023). (In Russ.)
26. Yakubov R.A., Beketov D.A., Khalturin I.V., Anisimov A.Yu. NPWT therapy in the complex treatment program of pancreatogenic sepsis. PM, 2017, № 4 (105). URL: https://cyberleninka.ru/article/n/npwt-terapiya-vkompleksnoy-lechebnoy-programme-pankreatogennogo-sepsisa (date of application: 14.11.2023). (In Russ.)
27. White R.A., Miki R.A., Kazmier P., Anglen J.O. Vacuum-assisted closure complicated by erosion and hemorrhage of the anterior tibial artery. J Orthop Trauma, 2005, № 19 (1), pp. 56–59. https://doi.org/10.1097/00005131-200501000-00011
28. Santosa K.B., Keane A.M., Keller M., Olsen M.A., Sears E.D., Snyder-Warwick A.K. Inpatient Versus Outpatient Management of Negative Pressure Wound Therapy in Pediatric Patients. J Surg Res, 2020, № 254, pp. 197–205. https://doi.org/10.1016/j.jss.2020.04.025
29. Gamzatov G.M., Amirilaeva M.M., Magomedova Z.A. Vacuum therapy in the treatment of purulent. 2nd International Congress dedicated to the 70th anniversary of the Vishnevsky Institute of Surgery, 2014, pp. 112–113. (In Russ.)
30. Shin S.H., Park I.K., Kang J.W., Lee Y.S., Chung Y.G. VacuumAssisted Closure (VAC) Using Multiple Foam Pieces for Hidden Space Drainage through Less Exposure in Musculoskeletal Infections. J Hand Surg Asian Pac Vol, 2018, № 23 (3), pp. 369–376. https://doi.org/10.1142/S242483551850039X
Review
For citations:
Gayvoronskaya T.V., Gulenko O.V., Novikova I.S. Vacuum therapy in the care of a purulent wound: a literature review. Moscow Surgical Journal. 2023;(4):104-111. (In Russ.) https://doi.org/10.17238/2072-3180-2023-4-104-111
Views:
357
Email this article 