Wound healing, as a normal biological process in the human body, is achieved through four precisely and highly programmed phases: hemostasis, inflammation, proliferation, and remodelling. For a wound to heal successfully, all four phases must occur in the proper sequence and time frame.
Multiple factors can lead to impaired wound healing. In general terms, the factors that influence repair can be categorized into local and systemic. Local factors are those that directly influence the characteristics of the wound itself, like desiccation, infection or abnormal bacterial presence, maceration, necrosis, pressure, trauma, and edema.
While systemic factors are the overall health or disease state of the individual that affect his or her ability to heal like – patient’s age, body type, chronic diseases like diabetes, immunosuppression, nutritional status, radiation therapy, and vascular insufficiencies.
Delayed wound healing is a significant health problem, particularly in older adults. In addition to the pain and suffering, failure of the wound to heal also imposes social and financial burdens.
Vacuum-assisted closure (VAC) therapy, which has been developed as an alternative to the standard forms of wound management, incorporates the use of negative pressure to optimize conditions for wound healing. It can be used for the early management of acute trauma or when other more conventional conservative methods have failed. A vacuum-assisted system may help wound heal more quickly by:
- Decreasing redness and swelling (inflammation)
- Draining excess fluid from the wound
- Helping draw together wound edges
- Increasing blood flow to your wound
- Keeping your wound moist and warm
- Reducing bacteria in the wound
- Reducing swelling
Dr Amita Jain who is an eminent professor of surgery and leading general laparoscopic surgeon, in her journal, titled “Effectiveness of vacuum-assisted closure of a wound in a tertiary care hospital” has analyzed the effectiveness of Vacuum-assisted closure of a wound in a Tertiary Care Hospital in a multidisciplinary 600 bedded multispecialty public hospital in Delhi NCR. You can read the complete journal here:-
Dr Amita Jain is a surgeon with highest degree of professional competence, precision and surgical craftsmanship. Performed all complicated general surgery procedures with in depth knowledge of invasive and few minimal invasive and onco surgical techniques. Underwent special training in trauma, executed various trauma-related complex life-saving neurosurgical procedures, reconstructed injured mangled limbs and performed vascular and reconstructive procedures with critical care.
Dr Amita Jain holds 28 plus years of rich experience in Trauma and General Laparoscopic Surgeries (including Gallbladder stone removal, appendix removal, hernia repair surgery, piles and fissure surgeries). She was the Professor Surgery of at the Army College of Medical Sciences and Base Hospital Delhi Cantt. In 1994 she was commissioned as Surgeon under the United Nations Mission in Congo. From 2020 to 2022, she worked with Bansals Hospital. Currently, Dr Amita Jain is the Senior Consultant, (Speciality: General and Laparoscopic Surgeon) at Artemis Lite Hospital, New Delhi