Outcomes Of Vacuum-Assisted Closure For The Treatment Of Wounds In The General Hospital Of Aigio: Case Series Of 3 Patients

Objective: This retrospective case series describes our experiences and outcomes using the vacuum-assisted closure (VAC) Therapy System for the management of difficult acute and chronic wounds in 3 patients treated in the General Hospital of Aigio. Methods: A retrospective review of medical records for 3 patients treated with VAC therapy was performed. Demographics, diagnosis, length of treatment, time to closure, time to discharge, type of VAC dressing used, dressing change schedule, therapy settings, and complications were recorded for each patient. Results: A middle-aged female with a medical history of type 2 diabetes mellitus and arterial hypertension presented to the emergency department of our hospital with a one-week history of pain, swelling, and necrotic changes of the right gluteal region. The infection had progressed to involve the right inguinal fold and lower anterior abdominal wall. The patient was taken emergently to the operating theater for extensive surgical debridement of all necrotic tissues. Postoperatively, a negative pressure wound therapy (VAC) system was applied. The VAC system was also used after postoperative surgical site infections in a woman undergoing post-incisional hernia repair and in a male undergoing open inguinal hernia repair. Conclusions: The results demonstrate that VAC therapy may be a viable, safe, and effective method of managing these difficult-to-treat situations.