Abstract | BACKGROUND: The vacuum-assisted closure device is a widely used mechanical modulator of wound healing; however, the optimal time kinetics of application have not been determined. The objective of the study was to optimize the kinetics of vacuum-assisted closure application. METHODS: Full-thickness wounds in seven diabetic mice per study group were treated with either an occlusive dressing alone, the vacuum-assisted closure device for 6 or 12 hours, or the vacuum-assisted closure device periodically for 4 hours every other day or continuously for 7 days. Wound closure and tissue response were evaluated by macroscopic, histologic, and immunohistochemical analyses on day 7. RESULTS:
Wound closure was significantly faster after short initial vacuum-assisted closure (6-hour and 12-hour groups) when compared with continuous treatment. Increased granulation tissue formation was seen in the 12-hour group (2.4-fold increase) and in those treated periodically for 4 hours every other day (3.2-fold increase) compared with the dressing-alone controls. Significant stimulation of cell proliferation was seen after all vacuum-assisted closure patterns (3.6- to 5.3-fold increase), whereas angiogenesis was augmented only after the device was applied for either three times for 4 hours (4.3-fold) or continuously (4.7-fold) when compared with dressing-treated wounds. Treatment three times for 4 hours showed a superior angiogenic effect also when compared with short initial applications (6-hour and 12-hour groups). CONCLUSIONS:
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Authors | Sandra Saja Scherer, Giorgio Pietramaggiori, Jasmine C Mathews, Dennis P Orgill |
Journal | Plastic and reconstructive surgery
(Plast Reconstr Surg)
Vol. 124
Issue 5
Pg. 1458-1465
(Nov 2009)
ISSN: 1529-4242 [Electronic] United States |
PMID | 20009831
(Publication Type: Comparative Study, Journal Article)
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Chemical References |
- Biomarkers
- Ki-67 Antigen
- Vascular Cell Adhesion Molecule-1
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Topics |
- Animals
- Biomarkers
(metabolism)
- Cell Proliferation
- Diabetes Mellitus, Experimental
- Granulation Tissue
(metabolism)
- Immunohistochemistry
- Ki-67 Antigen
(metabolism)
- Kinetics
- Mice
- Negative-Pressure Wound Therapy
(instrumentation)
- Neovascularization, Physiologic
- Occlusive Dressings
- Time Factors
- Vascular Cell Adhesion Molecule-1
(metabolism)
- Wound Healing
(physiology)
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