Wound Care

wound care Story

Madam Lee is a lively and cheerful mother who has been suffering from a non-healing wound on her right shin for over a month.

2. Vacuum-Assisted Closure (VAC) System

A 16 years old teenager had an alleged fall when playing trampoline and sustained an open fracture right tibia. There was an open wound over the shin after the fall.

Madam Lee, a 64-year-old woman from the neighbourhood of Austin, is a very lively and cheerful mother. She had been suffering with a non-healing wound on her right shin for over a month. She visited doctors multiple times and was prescribed different antibiotics with only a small effect. Madam Lee became frustrated seeing her wound with no sign of healing everyday.

In July 2022, she underwent a wound debridement on her wound. It is a surgery of thorough cleaning of all injured and dead tissue. The tissue culture turned out to be Pseudomonas which is a common bacterial pathogen in chronic wounds known for its propensity to form biofilms and evade conventional treatment methods.

Just 8 weeks after the surgery, her wound had healed almost 80%.

“When I saw that skin had finally covered my legs, I felt relieved”. Madam Lee says.

Before Surgery

1 day after Surgery

1 month after Surgery

2 month after Surgery

VAC

This is a 16 years old teenager who had an alleged fall when playing trampoline and sustained open fracture right tibia. There was an open wound over the shin after the fall.

Emergency surgery was done on the day of trauma. Right tibia was successfully reduced and stabilized with plate and screws.

However, he developed skin necrosis over the initial open wound at the shin. After 3 cycles of vacuum-assisted closure system, his wound was healed after 1 month.

Vacuum-assisted closure (VAC) is an alternative method of wound management, which uses the negative pressure to prepare the wound for spontaneous healing or by lesser reconstructive options.

Negative pressure therapy stabilizes the wound environment, reduces wound edema/bacterial load, improves tissue perfusion, and stimulates granulation tissue and angiogenesis. VAC therapy appears to be a simple and more effective than conventional dressings for the management of difficult wound in terms of reduction in wound volume, depth, treatment duration and cost.