Journal of Cutaneous and Aesthetic Surgery

AUTHORS«SQ» REPLY
Year
: 2013  |  Volume : 6  |  Issue : 3  |  Page : 173--174

Authors' Reply


Hassan Ravari1, Mohammad-Hadi Saeed Modaghegh1, Gholam Hosein Kazemzadeh1, Hamed Ghoddusi Johari2, Yaser Rajabnejad1,  
1 Department of Vascular Surgery, Vascular and Endovascular Surgery Research Center, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
2 Trauma Research Center, Department of General Surgery, Shiraz University of Medical Sciences, Shiraz, Iran

Correspondence Address:
Hamed Ghoddusi Johari
Trauma Research Center, Department of General Surgery, Shiraz University of Medical Sciences, Shiraz
Iran




How to cite this article:
Ravari H, Modaghegh MHS, Kazemzadeh GH, Johari HG, Rajabnejad Y. Authors' Reply.J Cutan Aesthet Surg 2013;6:173-174


How to cite this URL:
Ravari H, Modaghegh MHS, Kazemzadeh GH, Johari HG, Rajabnejad Y. Authors' Reply. J Cutan Aesthet Surg [serial online] 2013 [cited 2020 Jul 9 ];6:173-174
Available from: http://www.jcasonline.com/text.asp?2013/6/3/173/118437


Full Text

Sir,

We appreciate Viroj Wiwanitkit's [1] comments on our article: "Comparison of vacuum-asisted closure (VAC) and moist wound dressing in the treatment of diabetic foot ulcers". [2] They have mentioned that although VAC can be useful for diabetic foot care, its complications such as retention of polyurethane foam should be kept in mind.

Negative pressure wound therapy (NPWT) or VAC therapy is a closed-loop, non invasive active system, characterised by a controlled and localised negative pressure applied on porous polyurethane absorbent foams. It promotes healing of acute and chronic wounds. [3]

Every therapeutic modality has its own advantages and disadvantages. For example, in NPWT, small fragments of foam can be left in the wound and delay the wound healing. This is a very rare complication and there are many randomised clinical trials which show that NPWT is a safe and effective treatment modality for different acute or chronic ulcers with different etiologies. [4,5] So, there is no doubt that only qualified medical/paramedical personnel should use it to avoid possible complications that can occur after an improper application. [3]

In conclusion, we believe that using VAC by a trained and expert medical team is a very safe and effective therapeutic option for diabetic foot ulcers in well selected patients.

References

1Wiwanitkit V. Vacuum-assisted closure and moist wound dressing in diabetic foot. J Cutan Aesth Surg 2013;6:173.
2Ravari H, Modaghegh MH, Kazemzadeh GH, Johari HG, Vatanchi AM, Sangaki A, et al. Comparision of vacuum-asisted closure and moist wound dressing in the treatment of diabetic foot ulcers. J Cutan Aesthet Surg 2013;6:17-20.
3Dessy LA, Serratore F, Corrias F, Parisi P, Mazzocchi M, Carlesimo B. Retention of polyurethane foam fragments during VAC therapy: A complication to be considered. Int Wound J 2013.
4Vikatmaa P, Juutilainen V, Kuukasjärvi P, Malmivaara A. Negative pressure wound therapy: A systematic review on effectiveness and safety. Eur J Vasc Endovasc Surg 2008;36:438-48.
5Blume PA, Walters J, Payne W, Ayala J, Lantis J. Comparison of negative pressure wound therapy using vacuum-assisted closure with advanced moist wound therapy in the treatment of diabetic foot ulcers: A multicenter randomized controlled trial. Diabetes Care 2008;31:631-6.