Vacuum therapy in the care of a purulent wound: a literature review

Introduction. Currently, the use of the method of vacuum therapy of wounds of various etiologies and localization is becoming more and more popular. Many studies have been conducted proving the positive effect of this method on the course of the wound process, but it has not acquired the status of the method of choice/standard in surgical practice.The purpose of the study. To analyze the contradictory results of wound therapy with local negative pressure in comparison with traditional care.Materials and methods of research. The databases were searched for randomized controlled trials and reviews comparing postoperative treatment of purulent wounds with standard methods and negative pressure for the period 1993-2021. In the course of the analysis, a number of research methods were applied: historical, descriptive-analytical, Internet and content analysis. The results of the study. Currently, the VAC device is used as a universal tool in the arsenal of wound healing, in addition, they act as an additional resource in patients with a comorbid background. This method of treatment is applicable on anatomically complex wound surfaces, which distinguishes it from others. The use of vac therapy is associated with the occurrence of a number of complications, but the frequency of their occurrence is very insignificant, which makes it safe to consider it.Conclusion. Vac therapy is a promising and effective method of treating wounds of various etiologies, course and localization, favorably differing from other methods with a low incidence of complications, high efficiency, the possibility of application in anatomically complex areas and a reduction in the cost of therapy.