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Ann Thorac Surg 2001;72:1409-1410
© 2001 The Society of Thoracic Surgeons

How to do it

Vacuum-assisted closure in the treatment of a 9-year-old child with severe and multiple dog bite injuries of the thorax

Karen M. Brown, FRCSa, Fiona V. Harper, FRCSb, William J. Aston, MB, ChBa, Peter A. O’Keefe, MS, FRCS(C/Th)a, Charles Robert Cameron, FRCSa

a Department of Cardiothoracic Surgery, Guy’s Hospital, London, England, United Kingdom
b Department of Plastic Surgery, Guy’s Hospital, London, England, United Kingdom

Accepted for publication May 1, 2001.

Address reprint requests to Miss Brown, c/o Mr Cameron, Department of Cardiothoracic Surgery, Guy’s & St. Thomas’ NHS Trust, Guy’s Hospital, St. Thomas’ St, London, SE1 9RT, England
e-mail: kbrown{at}doctors.org.uk

The vacuum-assisted closure (VAC; KCI International, San Antonio, TX) device is a negative pressure dressing, which we have used in the treatment of wounds with devitalized or infected tissues. Although introduced in plastic and reconstructive surgery, its use has extended to orthopedic and cardiothoracic surgical practice in the treatment of infected joint replacement and sternal wound infections, respectively. Although the VAC is becoming more widely used in surgical practice, only a small number of case reports exist in addition to the original case series by Argenta and Morykwas in 1997. Previously, the device was described in treating single wounds in adult patients. We report a case where it was successfully used to treat multiple dog bite injuries in a 9-year-old child.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
J. O'Connor, A. Kells, S. Henry, and T. Scalea
Vacuum-Assisted Closure for the Treatment of Complex Chest Wounds
Ann. Thorac. Surg., April 1, 2005; 79(4): 1196 - 1200.
[Abstract] [Full Text] [PDF]


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Copyright © 2001 by The Society of Thoracic Surgeons.