The role of the vacuum-assisted closure therapy in the salvage of venous congestion of the free flap: case report.

International Wound Journal
Fatih UygurBahattin Ceiköz

Abstract

Indications for vacuum-assisted closure (VAC) therapy described generally include acute, chronic, traumatic wounds and ulcers. Recent studies related to investigating new applications of VAC therapy have begun to be reported at literature in many aspects. We used this technique in a novel area. A 21-year-old man presented who suffered venous congestion in anterolateral thigh fasciocutaneous flap at the postoperative second day. Following two cycles of VAC therapy, 72 hours later, venous congestion disappeared. Application of VAC therapy to the flap helps removal of excess interstitial fluid because of increased pressure gradients. It seems that VAC therapy is an option in venous congestion when the interstitial pressure rises above capillary pressure.

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Citations

Jan 26, 2016·Microsurgery·Shan Shan QiuTommy Nai-Jen Chang
Oct 23, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Kyu Tae HwangYoun Hwan Kim
Jun 27, 2012·Clinics in Plastic Surgery·Luke G GutweinBruce A Mast
Aug 31, 2010·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Jesse A GoldsteinChristopher E Attinger
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Feb 12, 2014·Veterinary Surgery : VS·Kathryn A Pitt, Bryden J Stanley
Jan 4, 2017·Orthopaedics & Traumatology, Surgery & Research : OTSR·N Robert
Dec 23, 2017·Clinical Medicine Insights. Case Reports·Yosuke NiimiMasaki Takeuchi
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Feb 11, 2021·Plastic and Reconstructive Surgery. Global Open·Florian BoissiereBenoit Chaput
Jun 10, 2021·Journal of Plastic Surgery and Hand Surgery·Uğur ŞahinHakan Arslan

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