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Role of Vacuum Suction Therapy in Orthopedic Wound Closure

Handbook of Orthopaedic Trauma Implantology

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Abstract

The limb soft-tissue envelope damage due to high energy trauma requires efficient solutions to achieve healing and avoid complications. Since the first descriptions in the late eighties of vacuum dressings, many publications show that the negative pressure wound therapy is a good and safe option to manage complex cases, from basic principles to clinical control trials. Three principal mechanisms of functioning have to be taken into account: Angiogenesis, more granulation tissue formation, and reduction of edema. The materials and technologies are continuously improving. However, it is essential to clarify that this kind of procedure does not replace an efficient surgical technique. The principal indications for the use of vacuum suction are open fractures and soft tissue injuries. However, its role in closed surgical operations is debatable. The major contraindications are in the context of bleeding disorders, both local and systemic. Clinical trials support its use as a temporary treatment and augmentation of incisional wounds but do not recommend it in the treatment of infections. Vacuum Therapy has to be considered a temporary advanced wound dressing technique that every orthopedic trauma surgeon must know and use.

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Author information

Authors and Affiliations

  1. Lower Extremities Trauma Unit Head, Orthopaedic and Traumatology Service, Mutual de Seguridad Clinical Hospital, Santiago, Chile

    Álvaro I. Zamorano

  2. University of Chile Clinical Hospital, Orthopaedic Surgery Service, Santiago, Chile

    Álvaro I. Zamorano & Pierluca Zecchetto

  3. Lower Extremities Trauma Unit, Orthopaedic and Traumatology Service, Mutual de Seguridad Clinical Hospital, Santiago, Chile

    Pierluca Zecchetto & Luis A. Bahamonde

  4. University of Chile Clinical Hospital, Orthopaedic Surgery Service Chief of Staff, Santiago, Chile

    Luis A. Bahamonde

  5. Chairman Orthopaedic and Traumatology Department, University of Chile Medical School, Santiago, Chile

    Luis A. Bahamonde

Authors
  1. Álvaro I. Zamorano
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  2. Pierluca Zecchetto
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  3. Luis A. Bahamonde
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Corresponding author

Correspondence to Álvaro I. Zamorano .

Editor information

Editors and Affiliations

  1. Narayana Health, West Bengal, India

    Arindam Banerjee

  2. Klinik u. Poliklinik für Unfallchirurgie, TU München Klinikum rechts der Isar, München, Bayern, Germany

    Peter Biberthaler

  3. Department of Orthopedics, Apollo Hospital Muscat, Muscat, Oman

    Saseendar Shanmugasundaram

Section Editor information

  1. Dept of Orthopaedics, Apollo Gleneagles Hospitals, Kolkata, West Bengal, India

    GAUR GAUTAM KAR

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Zamorano, Á.I., Zecchetto, P., Bahamonde, L.A. (2022). Role of Vacuum Suction Therapy in Orthopedic Wound Closure. In: Banerjee, A., Biberthaler, P., Shanmugasundaram, S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore. https://doi.org/10.1007/978-981-15-6278-5_47-1

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  • DOI: https://doi.org/10.1007/978-981-15-6278-5_47-1

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-6278-5

  • Online ISBN: 978-981-15-6278-5

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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Chapter history

  1. Latest

    Role of Vacuum Suction Therapy in Orthopaedic Wound Closure
    Published:
    19 July 2023

    DOI: https://doi.org/10.1007/978-981-15-6278-5_47-2

  2. Original

    Role of Vacuum Suction Therapy in Orthopedic Wound Closure
    Published:
    16 February 2022

    DOI: https://doi.org/10.1007/978-981-15-6278-5_47-1

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