Application of vacuum sealing drainage in the patients with vascular injuries in extremities
YIN Yao-bin
TONG De-di
WU Jing-heng
YANG Chen
TIAN Guang-lei
Abstract：Objective To investigate the effects of vacuum sealing drainage ( VSD ) technique to repair the wounds of the patients with vascular injuries in extremities who were treated with vascular anastomosis. Methods From January 2011 to October 2013, 61 patients with vascular injuries in extremities were treated in our hospital, all of whom underwent direct vascular anastomosis or vascular graft. The wounds around vascular anastomosis could not be closed by ifrst intention in 33 patients. Vascular anastomosis was covered by surrounding tissues and the VSD technique was used in the wounds around vascular anastomosis and in the distal wounds of decompression. In the other 28 patients the wounds around vascular anastomosis were closed directly, and the VSD technique was used in the distal wounds of decompression. Results Limb salvage treatment failed in 6 cases due to various reasons, and amputation was performed ifnally. The wounds in the other 55 cases were closed by free skin graft or the lfap. In the process of VSD treatment, serious adverse events were not found. Conclusions The VSD technique is a good choice in the treatment of the patients with vascular injuries in extremities, with excellent therapeutic effects. Anastomotic spasm or vascular embolization will not be caused by continuous negative pressure attraction, after the vascular anastomosis was covered by surrounding tissues.
Keywords：Vascular system injuryVacuum sealing drainage ( VSD )Wound and injury
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 297-300 )