ewma 2013-ep448- the treatment of difficult wound with v.a.c. therapy before surgery
TRANSCRIPT
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DEPARTMENT OF TRAUMATHOLOGY
S. Maria Delle Grazie Hospital
Pozzuoli (Naples) Italy
Director P.A. D’Amato M.D.
The treatment of difficult wound
with V.A.C. therapy before
surgery
R.Ceccarino, A. Scotto di Luzio, G. De Maria, S. Taglialatela Scafati, A. Mele, P.A. D’Amato
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wound of the medial side of the left ankle with bone’s lost.
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wound of the posterior side of the leg with lost of Achilleum tendon and severe infection of the soft tissue
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V.A.C. therapy for ten days
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Intraoperatory view
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Final result after two months
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A.L.T. free flap
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Final result after one month
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The treatment of difficult wounds with V.A.C. therapy before surgery have had better results than only surgery beacuse it let us prepare the bed for insetting the flap. In this way the postoperative follow-up showed us a faster healing without any complications