Vacuum Assisted Closure in Plastic Surgery

The Vacuum Assisted Closure (VAC) system represents a non-invasive technique in wound management that uses regulated negative pressure to help accelerate wound healing. Among the clinical advantages obtained with the application of negative pressure systems include progressive and uniform reduction of the wound, provides a closed environment suitable for wound healing, eliminates excess fluids and exudates typical of deep and complex wounds, which can inhibit or delay healing, helps eliminate edema by reducing interstitial fluid, stimulates granulation of the wound, reduces bacterial load as well as stimulates angiogenesis processes. It may be very attractive to maintain a conservative option with the application of negative pressure in patients with complex wounds as initial treatment, since it has been shown to reduce morbidity and minimize complications. Due to the many advantages offered by the negative pressure system, it is essential to know the sponges and necessary pressures as part of the therapeutic arsenal for complex wounds / reconstruction