چکیده (انگلیسی):

Introducation: Negative pressure wound therapy (NPWT) represents an alternative method to optimize
conditions for wound healing. Delayed wound closure is a significant health problem, which is directly
associated with pain and suffering from patient's aspect, as well with social and financial burden.
Presentation of case: We report a case of vacuum-assisted wound therapy with hypertonic solution
distillation and continuous negative pressure application, in an infected wound after laparotomy for
incisional hernia reconstruction with mesh placement. Negative pressure was initiated at the wound
margins after failure of conventional treatment with great outcomes, achieving a total closure of the
incision within two weeks.
Discussion: Each wound has particular characteristics which must be managed. Vacuum assisted closure
(VAC) with continuous negative pressure and simultaneous wound instillation and cleanse can provide
optimum results, reducing the cavity volume, by newly produced granulated tissue.
Conclusion: The simultaneous use of instillation and constant pressure seemed to be superior in comparison
with NPWT alone. Compared to conventional methods, the use of VAC ends to better outcomes,
in cases of infected wounds following laparotomy.