The objective of this study was to evaluate the protection and acceptability afforded by a new wound contact layer*, used in conjunction with the Vacuum Assisted Closure system (VACâ), in the local management of acute or chronic wounds. Methods: This was a prospective, multicenter, non-comparative, open-label evaluation. At each dressing change the investigating physician evaluated and photographed the wound. Planimetric measurement was undertaken and wound depth was assessed at the start and end of the treatment. Follow-up was continued until deemed clinically unnecessary by the investigator. Results: Sixty-six patients were included (42 acute wounds and 24 chronic wounds) and followed up for an average of 17 days. Dressing changes were deemed entirely painless in 52% of cases (compared with 18% at inclusion) and pain between two consecutive dressing changes was absent in 66% of cases (34% at inclusion). Removal of the V.A.C. foam and contact layer dressing was considered ‘very easy' or ‘easy' in 94% of cases and adherence to the wound was recorded as ‘absent' in 88%. On average, the dressings were changed every 3.8 ± 1.1 days (all wounds considered). Wound area and depth were reduced by 19% and 54% respectively by the end of the follow-up period. Conclusion: Use of the contact layer* with the VAC substantially reduced pain and dressing adherence during dressing changes. It therefore makes more acceptable the use of this technique, which aims to optimise the management of wounds that are sometimes considered to be in a therapeutic impasse.

*Restore Contact Layer with Triact Technology, Hollister Wound Care, Libertyville, IL Supported in part by Hollister Wound Care, L.L.C.