VAC-Minh Thu

1. EVALUATION OF VACUUM ASSISTED CLOSURE
THERAPY FOR SOFT TISSUE INJURY IN
VIET-CZECH FRIENDSHIP HOSPITAL
IN HAI PHONG
Dao Thi Minh Thu
Nurses in 11th Department

2. 1. INTRODUCTION
Wound dressing is very important in taking care of wound.
Common wound dressing technique:
- Can’t remove all of excess fluid.
- Take more time.
- Paining.
V.A.C Therapy:
- More effect in removing excess fluid.
- Increasing local capillary perfusion.
- Increasing rate of granulation tissue formation.

3. 1993: Fleischmann W. used Negative-pressure wound
therapy for treatment of 15 open musculoskeletal trauma
patients.
2006: 108 Military Central Hospital used V.A.C therapy for
treatment of complicated wound.
2013: Viet-Czech Friendshop hospital in Hai Phong used
Negative-pressure wound therapy in treatment of soft
tissue injury.
1. INTRODUCTION
*V.A.C: vacuum assisted closure

4. Aim:
1. Description of clinical characteristics of soft tissue
injury were treated by vacuum assisted closure therapy in
Viet-Czech friendship hospital in Hai Phong.
2. Evaluation of vacuum assisted closure therapy for
soft tissue injury in Viet-Czech friendship hospital in Hai
Phong from 01/2014 to 12/2018
1. INTRODUCTION

5. 2. MATERIALS AND METHODS
2.1. Materials:
Soft tissue injury patients were treated by V.A.C in
Viet-Czech Friendship Hospital from 1/2014 to 12/2018.
2.1.1. Selections:
Acute: Soft tissue Injury after removing necrotic tissues;
open musculoskeletal trauma.
Subacute: Infection wound after removing necrotic tissues.
Chronic: pressure sores, diabetic ulcers.

6. 2.1.2. Exclusion criteria:
+ Patient with bleeding injury, vascular trauma, injury with
blood vessel and nerves weren’t covered.
+ Osteomyelitis untreated.
+ Patient with soft tissue sarcoma.
+ Patient disagree to join the research.
2. MATERIALS AND METHODS

7. Methods
Prospective research, description of symptom.
Data processing
Statistical Package for the Social Sciences 18.0
2. MATERIALS AND METHODS

8. V.A.C System:
Sterile open –
pore foams
Opsite, Suction
Tubing and Port.
V.A.C Pump with
Collection Canister
2. MATERIALS AND METHODS

9. V.A.C Technique:
Clean the wound
2. MATERIALS AND METHODS

10. Applying the port
and suction tubing
Applying opsite
2. MATERIALS AND METHODS
Lay foam in wound
V.A.C Technique:

11. V.A.C System
2. MATERIALS AND METHODS
V.A.C Technique:

12. 3. RESULT AND DISCUSSION
Male
192
Female
120
Chart 3.1. Gender ratio

13. Chart 3.2. Causes
3. RESULT AND DISCUSSION
Pressure
sores: 202
Diabetic
ulcers: 26
Soft tissue
Injury: 83

14. Table 1. Properties of Injury
3. RESULT AND DISCUSSION

15. Least Most Average
Number of
cycle
1 7 3.25
Table 2. Number of V.A.C dressing used
3. RESULT AND DISCUSSION

16. Table 3. Time for wound dressing in 48 hours
3. RESULT AND DISCUSSION
Common
wound dressing
(minute)
V.A.C
(minute)
Average time spent
for one time.
15 20
Times 2,7 1
Total 40,5 20

17. Table 4: Evaluation of pain intensity (according VAS)
Pain intensity Before V.A.C
The first
V.A.C
The last
V.A.C
No pain 52 52 52
Mild pain 0 0 119
Moderate pain 42 83 68
Severe pain 104 89 62
Very Severe
pain
83 62 11
Worst
possible pain
31 26 0
Total 312 312 312
3. RESULT AND DISCUSSION

18. Wound size
Before V.A.C
(cm2)
After V.A.C
(cm2)
Least 30 20
Most 400 200
Average 80 48
Bảng 5. Wound size
3. RESULT AND DISCUSSION

19. 4. CONCLUSION
This research was conducted on 312 patients presented with
soft tissue injury between January 2014 to December 2018.
There were 192 males (61.54%) and 120 female (38.46)
patients included in the study. The average patient age was
48.5 years (range 13 to 95 years).
The most indication of treatment by V.A.C was pressure
sores patient (202/312).
Length of one cycle of V.A.C is 48 hours. VAC therapy over
the wound was administered for an average of 3,25 cycles
(range 1 to 7 cycles). Average amount of time spent on a
V.A.C wound dressing is 20 minutes.
Before using V.A.C, number of patient with 4 points or more
on VAS is 42. And after using V.A.C, It’s 13.

20. 4. CONCLUSION
VAC therapy using negative pressure that there are many
advantages more than classical wound dressing. It
promote wound healing by increasing local capillary
perfusion and increased rate of granulation tissue
formation, decreases the duration of wound healing and
requires fewer painful dressing change.
V.A.C is a advanture technique and can be popular at
provincial hospitals. With sugery method, It’s can be a
effectively way for soft tissue wound treatment.

21. Abscess on back
After cut and clean
use V.A.C technique
10th day after
wound suturing

22. After rotational
flap sugery to
cover injury.
Before V.A.C
After V.A.C
Patient: Nguyen Thi H. 34 years old.
Admission date: 15/3/2015
Δ: Pressure sores on buttocks (10x10cm)
V.A.C

23. Patient: Tran Xuan D. 30 years old.
Admission date: 16/10/2016
Δ: Soft tissue wound after left inguinal abscess surgery (400cm2)

24. Patient: Bui Thi D. 74 years old.
Admission date: 04/07/2019
Δ: Soft tissue wound after left leg abscess surgery (200cm2)
Before the second V.A.C After skin graftingBefore V.A.C

25. Thanks for your attention!