This is a clean procedure rather than an aseptic one.
Wound vac foam stuck in wound.
Fill wound with enough foam so that when vacuum is applied the height of the foam is close to the top of the wound margins.
3 5 the authors frequently help manage complex wounds with deep openings undermined areas blind areas tunnels or bony cavities.
Pressure a vacuum to the wound through a patented dressing and therapy unit creating an environment that promotes the wound healing process.
The foam must be removed before more granulation tissue develops so time is not on your side.
If there s no drainage then a wound vac isn t indicated.
Foam left in the wound for greater than the recommended time period may foster ingrowth of tissue into the foam create difficulty in removing foam from the wound or lead to infection or other adverse events.
With wet to dry s you will also be removing the healthy tissue which your patient has worked very hard to grow.
The foam was growing into granulated tissue which is why it was so difficult to remove.
Place shaped foam into wound.
To avoid bits of foam falling into wound do not cut foam over wound.
If possible use one piece of foam to fill wound and create bridge.
This negative pressure helps draw wound edges together remove wound fluids and infectious materials and promote granulation tissue formation the connective tissue in healing wounds.
The inadvertent retention of a sponge in wounds treated with vacuum assisted closure therapy has been reported to masquerade as osteomyelitis and nonhealing sinuses.
The most accurate and least painful way to do this is with a pair of forceps.
Cut all v a c foam dressings with sterile scissors to dimensions that will allow for the foam to be placed gently into the wound without over lapping onto intact skin.
I had a pt come from the hospital once with a chunk of foam shoved way into a tunnel but it hadn t touched another piece of foam for awhile so the tissue was growing into it.