Saziye Karaca, Afksendiyos Kalangos
Department of Cardiovascular surgery, University Hospital of Geneva, Geneva, Switzerland
Department of Cardiovascular surgery, University Hospital of Geneva, Geneva, Switzerland.
Vascular. 2015 Apr;23(2):144-50. doi: 10.1177/1708538114537488. Epub 2014 May 30.
In vascular surgery, surgical site infection is the most common postoperative morbidity, occurring in 5-10% of vascular patients. The optimal management of surgical site infection with involved lower limb vascular grafts remains controversial. We present our 6-year results of using the V.A.C.® system in surgical site infection with involved vascular grafts.
A retrospective 6-year review of patient who underwent a VAC® therapy for postoperative surgical site infection in lower limb with involved vascular grafts in our department between January 2006 and December 2011. V.A.C therapy was used in 40 patients. All patients underwent surgical wound revision with VAC® therapy and antibiotics.
The mean time of use of the V.A.C. system was 14.2 days. After mean of 12 days in 34 of 40 patients, in whom the use of VAC® therapy resulted in delayed primary closure or healing by secondary intention. The mean postoperative follow-up time was 61.67 months, during which 3 patients died.
We showed that the V.A.C.® system is valuable for managing specifically surgical site infection with involved vascular grafts. Using the V.A.C.® system, reoperation rates are reduced; 85% of patients avoided graft replacement.
在血管外科手术中，手术部位感染是最常见的术后并发症，在5%至10%的血管手术患者中出现。对于涉及下肢血管移植物的手术部位感染的最佳处理方法仍存在争议。我们展示了使用V.A.C.®系统治疗涉及血管移植物的手术部位感染的6年结果。
对2006年1月至2011年12月期间在我们科室接受VAC®治疗以处理涉及下肢血管移植物的术后手术部位感染的患者进行回顾性6年研究。40例患者接受了V.A.C治疗。所有患者均接受了VAC®治疗和抗生素的手术伤口清创。
V.A.C.系统的平均使用时间为14.2天。40例患者中的34例平均12天后，VAC®治疗导致延迟一期缝合或二期愈合。术后平均随访时间为61.67个月，在此期间3例患者死亡。
我们表明V.A.C.®系统对于处理涉及血管移植物的手术部位感染特别有价值。使用V.A.C.®系统可降低再次手术率；85%的患者避免了移植物置换。
