Vacuum-assisted closure [Neurosurgery Wiki]

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====== Vacuum-assisted closure ======

Compared with the use of the standard [[dressing]], Vacuum-assisted [[closure]] was found to decrease [[surgical site infection]] and return to OR risk in trauma patients undergoing Posterior [[Spinal Fusion]]s
((Mehkri Y, Hernandez J, Panther E, Gendreau J, Pafford R, Rao D, Fiester P, Rahmathulla G. Incisional Wound Vacuum-Evaluation of Wound Outcomes in Comparison With Standard Dressings for Posterior Spinal Fusions in Traumatic Patients. Oper Neurosurg (Hagerstown). 2023 Feb 1;24(2):138-144. doi: 10.1227/ons.0000000000000477. Epub 2022 Nov 2. PMID: 36637298.)).

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Vacuum-assisted closure therapy applied directly to the [[dura]] or cortical brain is a safe and effective technique for short-term wound temporization in the setting of indeterminate oncologic margins or active infection
((Prince N, Blackburn S, Murad G, Mast B, Sapountzis S, Shaw C, Werning J,
Singhal D. Vacuum-assisted closure therapy to the brain: a safe method for wound 
temporization in composite scalp and calvarial defects. Ann Plast Surg. 2015
Jun;74 Suppl 4:S218-21. doi: 10.1097/SAP.0000000000000374. PubMed PMID: 25978553.
)).