DEPARTMENT OF TRAUMATHOLOGY

S. Maria Delle Grazie Hospital

Pozzuoli (Naples) Italy

Director P.A. D’Amato M.D.

The treatment of difficult wound

with V.A.C. therapy before

surgery

R.Ceccarino, A. Scotto di Luzio, G. De Maria, S. Taglialatela Scafati, A. Mele, P.A. D’Amato

wound of the medial side of the left ankle with bone’s lost.

wound of the posterior side of the leg with lost of Achilleum tendon and severe infection of the soft tissue

V.A.C. therapy for ten days

Intraoperatory view

Final result after two months

A.L.T. free flap

Final result after one month

The treatment of difficult wounds with V.A.C. therapy before surgery have had better results than only surgery beacuse it let us prepare the bed for insetting the flap. In this way the postoperative follow-up showed us a faster healing without any complications