Difficult Wound Treatment in Delhi

Role of VAC [vacuum assisted closure] or NPWT [negative pressure wound therapy]

WHY NPWT?

Most wounds heal by conventional methods of treatment. If an injury is sustained, then the wound is closed by suturing, skin grafting or flaps at the earliest. In a neglected case of injury, the wound may get infected and become unfit for closure immediately. Similarly, ulcers in the diabetic foot, pressure sores, and necrotizing infections are not fit for closure due to adverse local conditions and thus require difficult wound treatment in Delhi.

Also, some patients are very sick due to sepsis, anemia and other nutritional deficiencies or serious diseases related to liver, kidney or heart and peripheral vessels and these systemic factors lead to poor wound healing. Conversely, the persistence of wounds in these patients aggravates systemic comorbidities. So, it is important that these wounds heal well in time so that the well-being of the patient is restored.

Some of these wounds can be made to heal by correction of these adverse factors but this may not always be possible.  Failure of conventional treatments in these situations can lead to the persistence of wounds which can be a threat to the person’s limb or life or can adversely affect the quality of his life.

In these situations, Vac or NPWT dressings can be a boon and can save limbs and life and quicken healing.

THE MACHINE

Vac/NPWT is a system of difficult wound treatment in Delhi in which a special foam is cut to size and stuffed into the wound. The wound is sealed by an airtight film and then connected by tubing to a machine that maintains a steady or intermittent negative pressure in the wound bed.

The drained fluid is collected in a sealed canister connected to the machine and is changed as and when it becomes full.

THE PROCESS

The patient undergoes a change in dressing every 3-5 days. Debridement of the wound is done at every dressing and Vac dressing is reapplied. This change of dressings is continued till the time the wound becomes ready for closure. Generally, this happens within 3 weeks of the start of Vac treatment.

The patient need not stay in the hospital for the duration of Vac therapy and can stay at home. Special alarms warn of any malfunction and can be rectified accordingly. The definitive difficult wound treatment in Delhi is then undertaken with a heightened chance of success.

ADVANTAGES

  1. Reduced healing time
  2. Decreased risk of infection
  3. Accelerated healing
  4. Decreased swelling and edema
  5. Reduced hospital stay
  6. Decreased overall cost of treatment
  7. Increased blood flow to the wound
  8. Less dependence on systemic antibiotics
  9. Better success rates
  10. De-escalation of closure procedure – a simpler procedure may suffice instead of a more complicated or difficult procedure.

INDICATIONS

  1. Diabetic wounds
  2. Pressure sores
  3. Infected wounds
  4. Neglected injuries
  5. Failed flap
  6. To ensure complete take of skin graft

The choice of vac system may be made primarily or after the failure of conventional treatment methods.

CONTRAINDICATIONS

  1. Exposed blood vessels
  2. Bleeding tendencies
  3. Bone infections

CASE REPORTS

To witness the brilliant results achieved with VAC click here.