Care about the VSD vacuum suction technology to treat a large area of skin and soft tissue defects（关心VSD真空抽吸技术治疗大面积皮肤和软组织缺陷）.doc

Care about the VSD vacuum suction technology to treat a large area of skin and soft tissue defects [Abstract] Objective To study the vacuum-assisted closure (VSD treatment of a large area of #8203;#8203;skin and soft tissue defects of care through on 31 cases using vacuum-assisted closure (VSD technology to treat a large area of #8203;#8203;skin and soft tissue defects psychological care, postural care, continuous negative pressure closed drainage, close nursing observation. the results of 23 cases of wound healing, skin grafting after eight cases of scarless healing. conclusion VSD treatment of a large area of #8203;#8203;skin and soft tissue defects in the process of meticulous care in place, can greatly improve the skin graft success rate was significantly shorter treatment time. [Keywords:] VSD large area of #8203;#8203;soft tissue defects in care Our department from February 2008 to July 2011, application of this technology to treat a large area of #8203;#8203;skin and soft tissue defects in 31 cases, and achieved satisfactory results in terms of care with the summary report are as follows. 1 Materials and Methods 1.1 Clinical data of 31 cases, 19 males and 12 females, aged 19 to 58 years old, average 45.2 years of age, clinical diagnosis: forearm destroyed seven cases of injury, open fracture of 10 cases of co-infection wound, fall injury five cases, re- thing injured nine cases, the defect area: 6cm x 9cm ~ 22cm x 35cm, with severe soft tissue injury, wound heavy pollution. Injuries to seven days after surgery. 1.2 Conventional methods of thorough debridement and repair of damaged blood vessels, nerves, tendons, etc., to cover the wound the VSD dressing the wound size after pruning, larger defects can be used in series, the dressing edge fixed to the skin around the suture, 75% rubbing alcohol clean the wound edge skin of VSD dressing covering the semipermeable membrane, drainage pipe negative pressure device, the negative pressure