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July 5, 2000

Adjunctive Therapies for Wound Healing

Author Affiliations

Stephen J.LurieMD, PhD, Contributing EditorIndividualAuthor

JAMA. 2000;284(1):40-41. doi:10.1001/jama.284.1.39

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.