Clinical Application of Vacuum Sealing Drainage in Wound Repair in Department of Orthopedics

Objective To study the effect of vacuum sealing drainage(VSD) on severe skin injury,and to summarize the characteristics of VSD in wound repair in the department of orthopedics.Methods Forty-five patients with severe skin injury(complex wounds) were treated with VSD in the department of orthopedics of Yuebei People's Hospital.Results All wounds healed after VSD.Among the 45 patients,28 successfully underwent operation and had red and small granulation tissue formation with rich blood supply after the first VSD and skin graft survival with good wound closure after the second skin grafting.Thirteen patients had red and small granulation tissue formation with rich blood supply after the second VSD and successfully underwent stamp skin grafting.Three patients with osteomyelitis underwent VSD twice and achieved wound closure after the third flap transfer.One patient with dorsal foot tendon exposure did not want to undergo flap preparation and received VSD to promote the growth of granulation tissue.After 3 times of VSD,the growth of granulation tissue was good and the tendon covered granulation tissue after using Shengji ointment.The wound closed after skin grafting.Conclusion VSD is an effective method for treating the large area of limb skin injury.