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| Over the past 5 years, we have applied a Vacuum Assisted Closure (V.A.C.) device (KCI; San Antonio, Texas) to a skin graft as a method of securing the graft in place, particularly over difficult recipient beds. The V.A.C. is a wound-closure device that uses reduced pressure to promote granulation tissue formation in compromised wounds. Using a V.A.C. device to secure a graft prevents fluid collection beneath the graft and ensures positive contact between the bed and the transplanted skin. In addition, the contraction of the V.A.C. sponge secondary to the application of negative pressure ensures that an even amount of pressure is distributed over the entire surface, regardless of the irregularity of the recipient bed. Because the sponge is pliable, movement of the recipient surface is somewhat possible compromising the graft. |
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