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Vacuum Sealing in the Treatment and Prevention of Prosthetic Infections – A Case Review


Authors: M. Beňo;  J. Martin;  J. Hatzl
Authors place of work: KKH Landshut-Achdorf, Klinika cievnej chirurgie, Landshut, SRN, primár: Dr. med. J. Hatzl
Published in the journal: Rozhl. Chir., 2010, roč. 89, č. 8, s. 508-512.
Category: Monothematic special - Original

Summary

Positive results of usage of sub atmospheric pressure in therapy of acute and chronic wounds in vascular patients are presented in many works of contemporary surgeons and vascular specialists. Negative pressure wound therapy (NPWT, vacuum sealing) found its broad utilization in vascular surgery. Despite the fact, that in the last years was the indication of this therapy in prevention and therapy of vascular graft infections discussed many times, are works dealing with this topic still rare. Our case document, that under certain circumstances can negative pressure wound therapy be used also in this indications. Though there were surprising results achieved in our cases, we think, that these patients after a successful NPWT need a long term follow up. To prove the efficacy of vacuum sealing in therapy of vascular graft infections needs in our opinion further observation and studies.

Key words:
negative pressure wound therapy – vacuum sealing – VAC system – infection of vascular grafts


Zdroje

1. Fleischmann, W., Strecker, W., Bombelli, M., Kinzl, L. Vacuum sealing as treatment of soft tissue damage in open fractures. Unfallchirurg, 9, 1993, s. 488–492.

2. Fleischmann, W., Lang, E., Russ, M. Treatment of infection by vacuum sealing. Unfallchirurg, 4, 1997, s. 301–304.

3. Morykwas, M. J., Argenta, L. C., Shelton-Brown, E. I., McGuirt, W. Vacuum-assisted closure a new method for wound control and treatment, animal studies and basic foundation. Ann. Plast. Surg., 38, 1997, s. 553–562.

4. Morykwas, M. J., Argenta, L. C. Nonsurgical modalities to enhance healing and care of soft tissue wounds. J. south Orthop. Assoc., 6, 1997, s. 279–288.

5. Fabian, T. S., Kaufmann, H. J., Lett, E. D., Thomas, J. B., Rawl, D. K., Lewis, P. L., Summit, J. B., Merryman, J. I., Schaeffer, T. D., Sargent, L. A., Burns, R. P. The evalution of subatmospheric pressure and hyperbaric oxygen in ischemic full-thickness wound healing. Am. Surg., 12, 2000, s. 1136–1143.

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7. Joroen, D. D., Tryfon, V., White, J., Nelemans, P., Martino, H. A., Joep, C. J. M. State of art tretment of chronic leg ulcers: A radomized controlled trial comparing vacuum-assisted closure ( V.A.C.) with modern wound. Vasc. surg., 6, 2008, s. 1520–1523.

8. Eneroth, M., Houtum, W. H. The value of debridement and vacuum assisted closure (V.A.C.) therapy in diabetic foot ulcers. Diabetes Metab. Res. Rev., 24, 2008, s. 76–80

9. Savolainen, H., Widmer, K. M., Heller, G., Makaloski, V., Carell, T., Schmidli, J. The problematic inguinal wound in vascular surgery-what is the optimal treatment, International journal of Angiology, 4, 2004, s. 193–196.

10. Hasan, H. D., Dennis, K. S., Raymond, S., Gregory, S. C. H. Preservation of infected and exposed vascular grafts using vacuum assisted closure without muscel flap. Vasc. surg., 5, 2005, s. 989–992.

Štítky
Surgery Orthopaedics Trauma surgery
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