VACUUM-ASSISTED CLOSURE - THE EVIDENCE

摘要

The management of traumatic degloving and shear injuries are a continuous challenge in veterinary medicine. Frequent dressing changes over a prolonged period until the wound is suitable for reconstruction or until the wound has healed by second intention have been standard-of-care for centuries. Over the last decade, several mechanical adjuncts have been developed to enhance wound healing, including electromagnetic stimulation, magnetic therapy, ultrasound therapy, low-intensity laser, hyperbaric oxygen therapy, compression therapies, and negative pressure therapy. Of these, negative pressure wound therapy has shown the most clinical promise, not only for wound management but also in plastic, reconstructive, orthopaedic, cardiothoracic, and generalsurgical applications.