• Users Online: 166
  • Print this page
  • Email this page
Year : 2019  |  Volume : 18  |  Issue : 2  |  Page : 65-68

Management of the Wound in Type IIIB Open Tibiofibular Fractures: The Role of Improvised Vacuum-assisted Closure Dressing

1 Federal Medical Centre, Birnin Kebbi, Kebbi State, Nigeria
2 Department of Surgery, Federal Medical Centre, Birnin Kebbi, Kebbi State, Nigeria

Correspondence Address:
Dr. Oni Nasiru Salawu
Department of Surgery, Federal Medical Centre, Birnin Kebbi, Kebbi State
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njot.njot_21_19

Rights and Permissions

Background: The negative pressure used in vacuum-assisted closure (VAC) dressing helps to suck out fluid and bacteria from the wound and enhances granulation tissue formation and wound contraction, thus causing wound healing. Aim: The aim of the study is to demonstrate the effectiveness of VAC in extensive wound management when using local materials. Methods: This was a prospective study in which all consented patients who met the inclusion criteria within the study period were included in the study; suctioning machine, rubber tube, foam and cling film were adapted to make the local VAC which was used to manage the wound. The results were analysed by IBM SPSS Version 22. Results: Thirty-two wounds were managed with VAC, there were 28 males and four females, the mean age of patients was 33.7 ± 9.6 years, the mean length of wound managed was 10.6 ± 2.9 cm and the average number of dressing was five times. All wounds were culture positive at the beginning of the management, with Staphylococcus aureus being the most common organism. At the end of VAC treatment, 90.6% of the wound were negative for culture. Healing by secondary wound intension occurred in 50% of the wound, secondary suturing was done in 31.2% of the wound, while 18.8% of the wound had split-thickness skin grafting. The complications noted during the treatment are pain in 9.3% of the patients and skin excoriation in 3.1% of the patients. Conclusion: VAC method of wound management using local materials is effective in the treatment of extensive wound, and it is associated with less frequent dressing to achieve the desired result.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded272    
    Comments [Add]    

Recommend this journal