Demaria R G, Giovannini U M, Téot L, Frapier J-M, Albat B
Department of Cardiovascular Surgery, Arnaud de Villeneuve Hospital, Montpellier, France.
J Cardiovasc Surg (Torino). 2003 Dec;44(6):757-61.
The treatment of infected vascular surgery sites is challenging. Negative pressure applied uniformly to the entire wound surface has been shown to allow granulation tissue formation and to promote healing of acute and chronic wounds.
We used the Vacuum-Assisted Closure (VAC, Kinetic Concepts Incorporated, San Antonio, Texas, USA) system in 4 patients with severe groin wound infection after emergency surgery on the femoral artery.
In all 4 patients, general health improved and the wound changed rapidly from a large infected cavity to a minor lesion readily covered using a simple surgical technique.
This study establishes VAC as a very valuable tool for managing severe complications of groin vascular surgery sites even in patients with obesity and/or diabetes mellitus.
感染性血管手术部位的治疗具有挑战性。已证明对整个伤口表面均匀施加负压可促进肉芽组织形成，并促进急性和慢性伤口的愈合。
我们对4例股动脉急诊手术后出现严重腹股沟伤口感染的患者使用了真空辅助闭合（VAC，美国得克萨斯州圣安东尼奥市的动力概念公司）系统。
所有4例患者的总体健康状况均有所改善，伤口迅速从一个大的感染腔变为一个小病变，采用简单的手术技术即可轻松覆盖。
本研究证实，即使对于肥胖和/或糖尿病患者，VAC也是管理腹股沟血管手术部位严重并发症的非常有价值的工具。
