SlideShare une entreprise Scribd logo
1  sur  61
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

Contenu connexe

Similaire à V.A.C. THERAPY IN BULGARIA initial experience

Heroic procedures you should know
Heroic procedures you should knowHeroic procedures you should know
Heroic procedures you should know
EM OMSB
 
Emergency surgical procedures
Emergency surgical proceduresEmergency surgical procedures
Emergency surgical procedures
taem
 
Malaria Parasitemia in Anambra East Local Government Area of Anambra State, N...
Malaria Parasitemia in Anambra East Local Government Area of Anambra State, N...Malaria Parasitemia in Anambra East Local Government Area of Anambra State, N...
Malaria Parasitemia in Anambra East Local Government Area of Anambra State, N...
ijtsrd
 

Similaire à V.A.C. THERAPY IN BULGARIA initial experience (20)

14054779.ppt
14054779.ppt14054779.ppt
14054779.ppt
 
Open fracture
Open fractureOpen fracture
Open fracture
 
Vacuum compression therapy (vct)
Vacuum compression therapy (vct)Vacuum compression therapy (vct)
Vacuum compression therapy (vct)
 
Heroic procedures you should know
Heroic procedures you should knowHeroic procedures you should know
Heroic procedures you should know
 
Importance of a follow up ultrasound protocol in monitoring
Importance of a follow up ultrasound protocol in monitoringImportance of a follow up ultrasound protocol in monitoring
Importance of a follow up ultrasound protocol in monitoring
 
Emergency surgical procedures
Emergency surgical proceduresEmergency surgical procedures
Emergency surgical procedures
 
corrosive_strictures.ppt
corrosive_strictures.pptcorrosive_strictures.ppt
corrosive_strictures.ppt
 
Uma mogs2015result
Uma mogs2015resultUma mogs2015result
Uma mogs2015result
 
Wrist ganglion
Wrist ganglionWrist ganglion
Wrist ganglion
 
Societyof cardiothoracic s
Societyof cardiothoracic sSocietyof cardiothoracic s
Societyof cardiothoracic s
 
Bladder cancer
Bladder cancerBladder cancer
Bladder cancer
 
Updates in Pleural Disease
Updates in Pleural DiseaseUpdates in Pleural Disease
Updates in Pleural Disease
 
Final Stent[1]
Final Stent[1]Final Stent[1]
Final Stent[1]
 
V34n3a21
V34n3a21V34n3a21
V34n3a21
 
Birth canal injury
Birth canal injuryBirth canal injury
Birth canal injury
 
Polytrauma
Polytrauma Polytrauma
Polytrauma
 
Compartment_Syndrome - COK ver 02112022.ppt
Compartment_Syndrome - COK ver 02112022.pptCompartment_Syndrome - COK ver 02112022.ppt
Compartment_Syndrome - COK ver 02112022.ppt
 
Protocol
ProtocolProtocol
Protocol
 
Malaria Parasitemia in Anambra East Local Government Area of Anambra State, N...
Malaria Parasitemia in Anambra East Local Government Area of Anambra State, N...Malaria Parasitemia in Anambra East Local Government Area of Anambra State, N...
Malaria Parasitemia in Anambra East Local Government Area of Anambra State, N...
 
Gu trauma- genital
Gu trauma- genitalGu trauma- genital
Gu trauma- genital
 

Dernier

💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
Sheetaleventcompany
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Sheetaleventcompany
 

Dernier (20)

Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
 
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
 
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 

V.A.C. THERAPY IN BULGARIA initial experience