Pinocy Jürgen, Albes Johannes M, Wicke Corinna, Ruck Peter, Ziemer Gerhard
Department of Surgery, Division of General Surgery, University of Tübingen, Tübingen, Germany.
Wound Repair Regen. 2003 Mar-Apr;11(2):104-9. doi: 10.1046/j.1524-475x.2003.11205.x.
Deep groin infections after prosthetic vascular surgical procedures represent a serious complication of surgical practice. Septicemia and/or erosive hemorrhage can both be consequences. In this situation, removal of the graft appears to be the only option. However, if the infection is detected early (type Szilagyi III), local treatment to eradicate the infection could serve as an alternative. Twenty-four patients with confirmed infection of the soft tissue adjacent to the prosthetic material in the groin were treated locally by implantation of a vacuum sponge system. Duration of this treatment was 2 weeks. All patients showed excellent tissue granulation of the wound area and the microbial stains were negative at the end of therapy. In 21 patients the wound could be primarily closed after explantation of the sponge. Three patients underwent open treatment because of a skin defect. After 12 months, the wounds had healed well in all patients. Histologic evaluation revealed a physiological healing process. Deep soft tissue infections of the groin adjacent to prosthetic vascular material (type Szilagyi III) can be treated effectively and safely with the vacuum sponge system. The treatment is inexpensive, easy to perform, and the initial vascular reconstruction can be preserved.
人工血管外科手术后的深部腹股沟感染是外科手术中的一种严重并发症。败血症和/或侵蚀性出血都可能是其后果。在这种情况下，移除移植物似乎是唯一的选择。然而，如果感染早期被发现（西拉吉III型），局部治疗以根除感染可作为一种替代方案。24例腹股沟区人工材料周围软组织确诊感染的患者接受了局部真空海绵系统植入治疗。该治疗持续时间为2周。所有患者伤口区域均呈现良好的组织肉芽，治疗结束时微生物染色均为阴性。21例患者在取出海绵后伤口可一期缝合。3例患者因皮肤缺损接受开放治疗。12个月后，所有患者伤口均愈合良好。组织学评估显示为生理性愈合过程。人工血管材料周围腹股沟区的深部软组织感染（西拉吉III型）可通过真空海绵系统有效且安全地治疗。该治疗费用低廉、操作简便，且可保留最初的血管重建。
