Modified vacuum-assisted closure

S. F. Sia, E. P. Fong

Research output: Contribution to journalArticlepeer-review


The treatment of large ulcers is a problem. Closure with flaps and even skin grafts in compromised patients is often fraught with risks. Dressing these large wounds is also a problem, as they are often heavily exudative. We report our experience using the vacuum-assisted closure technique in managing difficult ulcers in four patients. A modification of the technique using cheap, easily available materials is described. The vacuum-assisted suction is an effective treatment for large ulcers in compromised patients. It facilitates considerable contraction of the wound, and in smaller wounds; the vacuum-assisted closure allows sufficient contracture to enable delayed primary closure. We recommend the use of this method of wound dressing and closure in large wounds particularly, in high-risk patients where extensive flap coverage or even split skin graft would incur considerable risk.
Original languageEnglish
Pages (from-to)24-27
Number of pages4
JournalJournal of the University of Malaya Medical Centre
Issue number2
Publication statusPublished - 2006
Externally publishedYes


  • modified vacuum-assisted closure
  • difficult ulcers


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