OBJECTIVE: Negative pressure therapy (VAC, vacuum assisted closure) is a method used still in our country. It consists of a system of aspirating a wound by means of a piece of foam and a few adhesive films. It allows the treatment of complex wounds, included (although this is still controversial) those with intestinal fistulas. We present 3 cases of treatment with VAC in this situation and a review of the published literature. PATIENTS AND METHOD: We have treated 10 patients, since VAC therapy was introduced into our centre of which 3 of whom had a fistula in the bed of the surgical wound. We describe the clinical information of the patients and the therapy that followed in each of the cases. RESULTS: Significant local clinical improvement of the disease, with control of the symptoms, was achieved in all 3 cases. We were able to re-operate to close the fistula in one of the patients, with subsequent good progression of the wound. In the other two cases it gave them a better quality of life although both died due to the overall complexity of their situation. CONCLUSIONS: VAC therapy, although controversial in the treatment of intestinal fistulas, can help to improve the local situation of the wounds, the comfort of the patients and their general situation.
OBJECTIVE: Negative pressure therapy (VAC, vacuum assisted closure) is a method used still in our country. It consists of a system of aspirating a wound by means of a piece of foam and a few adhesive films. It allows the treatment of complex wounds, included (although this is still controversial) those with intestinal fistulas. We present 3 cases of treatment with VAC in this situation and a review of the published literature. PATIENTS AND METHOD: We have treated 10 patients, since VAC therapy was introduced into our centre of which 3 of whom had a fistula in the bed of the surgical wound. We describe the clinical information of the patients and the therapy that followed in each of the cases. RESULTS: Significant local clinical improvement of the disease, with control of the symptoms, was achieved in all 3 cases. We were able to re-operate to close the fistula in one of the patients, with subsequent good progression of the wound. In the other two cases it gave them a better quality of life although both died due to the overall complexity of their situation. CONCLUSIONS: VAC therapy, although controversial in the treatment of intestinal fistulas, can help to improve the local situation of the wounds, the comfort of the patients and their general situation.
Authors: Manuel Ruiz-Lopez; Alberto Titos; Ivan Gonzalez-Poveda; Joaquin Carrasco; Jose Antonio Toval; Santiago Mera; Julio Santoyo Journal: Int Wound J Date: 2012-08-29 Impact factor: 3.315
Authors: Tomasz Banasiewicz; Maciej Borejsza-Wysocki; Wiktor Meissner; Stanisław Malinger; Jacek Szmeja; Tomasz Kościński; Andrzej Ratajczak; Michał Drews Journal: Wideochir Inne Tech Maloinwazyjne Date: 2011-09-30 Impact factor: 1.195