Vacuum-assisted closure of laparostomy wounds: a critical review of the literature.

@article{Stevens2009VacuumassistedCO,
  title={Vacuum-assisted closure of laparostomy wounds: a critical review of the literature.},
  author={Philip Stevens},
  journal={International wound journal},
  year={2009},
  volume={6 4},
  pages={259-66}
}
Vacuum-assisted closure (VAC) reduces the burden for carers of laparostomy wounds but evidence from randomised trials is lacking. This review analyses the evidence for the VAC abdominal wound management system (KCI, San Antonio, TX) in the open abdomen. Three prospective studies provide level III evidence that VAC allows delayed primary fascial closure in the majority of these wounds up to 21 days after occurrence, but not where duration of VAC was less than 9 days or if vacuum pack techniques… CONTINUE READING