Stephen J.LurieMD, PhD, Contributing EditorIndividualAuthor
To the Editor: In their review of wound healing,
Drs Bello and Phillips1 correctly note that
most reports of enhanced wound healing by topical applications are anecdotal
and poorly controlled. However, they did not discuss the method of vacuum-assisted
closure,2 which has become popular in the
last few years. We have used this method for wound care quite successfully.2 It has enabled us to avoid skin grafting of fasciotomy
wounds and has helped prepare the beds of recently debrided wounds for either
subsequent flap closure or skin grafting. Additionally, it has been tremendously
beneficial in immobilizing skin grafts in areas that ordinarily are notoriously
difficult to achieve good graft results due to contour or motion.
Fontanarosa PB, Graham III WP. Adjunctive Therapies for Wound Healing. JAMA. 2000;284(1):40–41. doi:10.1001/jama.284.1.39
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