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Vacuum-Assisted Closure (VAC) Change for a Complex Right Hip Wound

Joshua Ng-Kamstra, MD, MPH
Massachusetts General Hospital

1. Introduction

2. Preparation

3. Removal of Foam and Sponges

  1. Wound Swabs for Culture Samples
  2. Measure Wound Dimensions and Take Pictures for Plastics

4. Irrigation and Wound Cleaning

  1. Tissue Debridement and Hematoma Removal

5. New Sponge Placement

6. Stapling Sponge to Wound Edges and Protecting Skin with Plastic Dressing

7. Application of Film Seal

8. Foam Bridge Creation for Best Positioning of Vacuum Suction

9. Application of Vacuum Suction

10. Post-op Remarks