title: [Managing complications in severe traumatic injury with VAC therapy with instillation].
abstract: The complex fractures caused by high energy trauma, poses a major surgical challenge. Vessels, skin and subcutaneous tissues. The Vacuum Assisted Therapy (VAC) has become a very useful tool since the last century's 90 decade. Based in the application of negative pressure to the wound bed, promotes healing by granulation tissue formation, keeping the wound clean and avoiding bacterial colonization. Used as a primary method or in combination with others, VAC therapy allows more conservative options in the treatment of these wounds. We describe the application of the VAC therapy in a clinical case with complex injury, showing its efficacy, added the benefit of the instillation therapy.
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital de San Juan de Dios del Aljarafe, Av. San Juan de Dios s/n-41930 Bormujos, Sevilla. mariapaz.borrero@sjd.es
authors.forename: Maria Paz
authors.initials: MP
authors.lastname: Borrero Esteban
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital de San Juan de Dios del Aljarafe, Av. San Juan de Dios s/n-41930 Bormujos, Sevilla.
authors.forename: Rocío
authors.initials: R
authors.lastname: Begines Begines
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital de San Juan de Dios del Aljarafe, Av. San Juan de Dios s/n-41930 Bormujos, Sevilla.
authors.forename: Silvia
authors.initials: S
authors.lastname: Rodríguez Llamas
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital de San Juan de Dios del Aljarafe, Av. San Juan de Dios s/n-41930 Bormujos, Sevilla.
authors.forename: Talía
authors.initials: T
authors.lastname: Díaz Campos
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D006801:Humans; D015601:Injury Severity Score; D007322:Instillation, Drug; D007869:Leg Injuries; D008297:Male; D054843:Negative-Pressure Wound Therapy; D013978:Tibial Fractures / Q000628:therapy*