Abstract:

BACKGROUND: The clinical tube jam rate of wound dressing materials for vacuum-sealing drainage which were foam or sponge biosynthesis material is high. These materials need repeated equipment replacement because of more exudation and necrotic tissues of the high-energy injury destroyed wound in the limbs at the later period.
OBJECTIVE: To study the curative effect of vacuum-sealing drainage based on biomaterial wound surface dressings on destroyed damage of the limbs.
METHODS: Thirty-six patients with destroyed damage of limbs who underwent damage control surgeries were divided into three groups according to their different wishes: biomaterial wound surface dressing group, synthetic material group, and routine pressure dressing group.
RESULTS AND CONCLUSION: The vacuum-sealing drainage used in the biomaterial wound surface dressing group and synthetic material group could obviously shorten the hospitalization time and improve the freshness of granulation tissues before phase Ⅱ closed wound surgery compared with the routine pressure dressing group. And the vacuum-sealing drainage based on biomaterial wound dressing got a better therapeutic effect (P < 0.05). The vacuum-sealing drainage based on biomaterial wound surface dressing used in destroyed damage of limbs can achieve the effective drainage, avoid repeated debridement damages to patients, and provide good soft tissue bed to phase Ⅱ closed wound surgery.