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V.A.C. therapy in general surgery – initial experience V. Mutafchiyski Military Medical Academy – Sofia, Bulgaria
Introduction ,[object Object]
V.A.C. Therapy has been selected as the treatment of choice for more     than 3,000,000 people worldwide
The V.A.C. Therapy System  is comprised of three essential components that actively work together to help promote  wound healing through granulation tissue formation: V.A.C. Therapy Unit - provides intermittent and continuous therapy with integrated patient safety features  Sensa T.R.A.C. Technology - regulates pressure at the wound site to provide accurate delivery of prescribed therapy settings  V.A.C. GranuFoamTM Dressings - help provide the necessary mechanisms to promote granulation tissue formation
V.A.C. Therapy - Mechanisms of Action
Indications ,[object Object]
Complicated wounds
High risk wounds
Chronic and non-healing wounds
Diabetic wounds
Decubitus
Fistulas
Skin grafts, burns,[object Object]
Penetrating wound in left femoral region with damage of v.saphena magna sin, scrotum, fracture of the pubic bone and left gluteus,[object Object]
Clinical case 1
Interval between procedures  48 hs Pressure GranuFoam continuous -125 mmHg Number of procedures 15
Clinical case 1
Clinical case 1
Clinical case 1
Clinical case 2	 ,[object Object]
Penetrating wound of the abdomen
Injury of the colon, duodenum, stomach, IVC, right kidney
Severe peritonitis with multiple revisions of the abdomen
Suppuration of the wound,[object Object]
Clinical case 2	 Interval of procedures  48 hrs Pressure GranuFoam continuous -125 mmHg Number of procedures 2
Clinical case 3 ,[object Object]
Gun shot injury in the sacral region
Injury of sacral bone, rectum, bladder, small intestine, left urether
Hemorrhagic shock,[object Object]
Clinical case 3
Clinical case 3
… 48 hours later …
Clinical case 3
Clinical case 3
Clinical case 3
Clinical case 3
Clinical case 3
48 hours later …
Clinical case 3
[object Object]
Crush syndrome
Pelvic fracture
Hemorrhagic shock
Angiographic embolizationClinical case 4
Clinical case 4
Clinical case 4
Clinical case 4
Clinical case 4
Clinical case 4
Clinical case 4
Clinical case 4
Clinical case 4
Clinical case 4
Clinical case 5 65 years old female Chronic diabetic wound (5 years) Failure of CONV therapy
Clinical case 5

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V.A.C. THERAPY IN BULGARIA initial experience