Department of Plastic and Hand Surgery, University of Freiburg Medical Center, Freiburg, Germany.
J Reconstr Microsurg. 2010 Nov;26(9):615-22. doi: 10.1055/s-0030-1267378. Epub 2010 Oct 4.
Introduction of vacuum-assisted closure (VAC) system into clinical practice has revolutionized wound care. Despite its multiple advantages, however, the VAC is only rarely used in the setting of microsurgical reconstruction. Concerns have been the inability to clinically monitor the flap as well the possibility of flap compression by the device. The authors put their postoperative treatment concept of applying the VAC to free flaps to the test by reviewing their experience with this concept in patients undergoing microsurgical reconstruction of posttraumatic lower-extremity soft tissue defects. Twenty-six patients (22 male, 4 female) were included in this study. Use of the implantable Doppler probe allowed for postoperative flap monitoring. Two flap failures were observed, both in patients with peripheral vascular disease. In conclusion, using the VAC device in the setting of microsurgical reconstruction is safe and allows for increased patient comfort.
引入负压封闭引流（VAC）系统到临床实践中已经彻底改变了伤口护理。然而，尽管 VAC 有许多优点，但它在显微重建的情况下很少使用。人们担心无法临床监测皮瓣，以及该设备可能对皮瓣造成压迫。作者通过回顾他们在创伤性下肢软组织缺损患者接受显微重建后应用 VAC 的经验，对将 VAC 应用于游离皮瓣的术后治疗概念进行了检验。本研究共纳入 26 名患者（22 名男性，4 名女性）。使用植入式多普勒探头可以进行术后皮瓣监测。观察到两例皮瓣失败，均发生在伴有周围血管疾病的患者中。总之，在显微重建的情况下使用 VAC 装置是安全的，并可以提高患者的舒适度。
