Synchronous Treatment of Distant Defect Sites With Bridged Vacuum-Assisted Wound Closure Technique

To the Editor: Vacuum-assisted closure (VAC) is a well-recognized minimal invasive treatment method for various acute and chronic wounds. If there are a number of wounds are present in a given anatomic region, a Y connector can be used to join 2 wound suction dressings together. As an alternative to the Y connector, some authors proposed bridging separate wounds with a piece of sponge after draping the intact skin between them. Thus, VAC can be performed using only 1 unit and 1 TRAC pad (KCI Medical Ltd, Kidlington, UK). We also frequently used the same method in our clinic; and have noticed no difference between the use of a Y connector and a bridging sponge in effectiveness of managing multiple wounds. The new VAC sponges are fashioned as flat coils that are amenable to being cut to size or unrolled and extended when needed (Fig. 1A). In this letter, we