scholarly journals Complete abdominal wound and anastomotic leak with diffuse peritonitis closure achieved by an abdominal vacuum sealing drainage in a critical ill patient: a case report

BMC Surgery ◽  
2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Yusuke Fujii ◽  
Yoshitsugu Tajima ◽  
Shunsuke Kaji ◽  
Takashi Kishi ◽  
Yoshiko Miyazaki ◽  
...  
Keyword(s):  
Case Report ◽  
Anastomotic Leak ◽  
Diffuse Peritonitis ◽  
Abdominal Wound ◽  
Vacuum Sealing ◽  
Vacuum Sealing Drainage ◽  
Critical Ill

scholarly journals Antibiotic-loaded bone cement combined with vacuum sealing drainage to treat deep sternal wound infection following cardiac surgery: the first case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Xia Jiang ◽  
Fanyu Bu ◽  
Yong Xu ◽  
Zhaohui Jing ◽  
Guoqing Jiao ◽  
...  
Keyword(s):  
Case Report ◽  
Wound Infection ◽  
Bone Cement ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Stage I ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Vacuum Sealing ◽  
Vacuum Sealing Drainage

Abstract Background Deep sternal wound infection (DSWI) is a rare but serious complication after median sternotomy, and treatment success depends mainly on surgical experience. Here we first present a case of a patient successfully treated for antibiotic-loaded bone cement (ALBC) combined with vacuum sealing drainage (VSD) of DSWI. Case presentation This case report presented a patient who underwent open heart surgery, and suffered postoperatively from a DSWI associated with enterococcus cloacae. Focus debridement combined with ALBC filling and VSD was conducted in stage I. Appropriate antibiotics were started according to sensitivity to be continued for 2 weeks until the inflammatory markers decreased to normal. One month after the surgery, patient’s wound was almost healed and was discharged from hospital with a drainage tube. Two months after the stage I surgery procedure, the major step was removing the previous ALBC, and extensive debridement in stage II. The patient fully recovered without further surgical treatment. Conclusions The results of this case suggest that ALBC combined with VSD may be a viable and safe option for deep sternal wound reconstruction.

scholarly journals Antibiotic-Loaded Bone Cement Combined With Vacuum Sealing Drainage To Treat Deep Sternal Wound Infection Following Cardiac Surgery: The First Case Report

2021 ◽  
Author(s):  
Xia Jiang ◽  
Fanyu Bu ◽  
Yong Xu ◽  
Zhaohui Jing ◽  
GUOqing Jiao ◽  
...  
Keyword(s):  
Case Report ◽  
Wound Infection ◽  
Bone Cement ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Stage I ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Vacuum Sealing ◽  
Vacuum Sealing Drainage

Abstract Background: Deep sternal wound infection (DSWI) is a rare but serious complication after median sternotomy, and treatment success depends mainly on surgical experience. Here we first present a case of a patient successfully treated for antibiotic-loaded bone cement(ALBC) combined with vacuum sealing drainage(VSD) of DSWI.Case presentation: This case report presented a patient who underwent open heart surgery, and suffered postoperatively from a DSWI associated with enterococcus cloacae. Focus debridement combined with ALBC filling and VSD was conducted in stage I. Appropriate antibiotics were started according to sensitivity to be continued for two weeks until the inflammatory markers decreased to normal. One month after the surgery, patient’s wound was almost healed and was discharged from hospital with a drainage tube. Two months after the stage I surgery procedure, the major step was removing the previous ALBC, and extensive debridement in stage II. The patient fully recovered without further surgical treatment.Conclusions: The results of this case suggest that ALBC combined with VSD may be a viable and safe option for deep sternal wound reconstruction.

scholarly journals Vacuum Sealing Drainage in the Treatment of Migrated, Polyacrylamide Hydrogel after Breast Augmentation: A Case Report

Breast Care ◽  
2014 ◽  
Vol 9 (4) ◽  
pp. 273-275 ◽  
Author(s):  
Jinfang Wu ◽  
Xudong Zhang ◽  
Qiming Zhao ◽  
Dongsheng Mao ◽  
Xin Lu
Keyword(s):  
Case Report ◽  
Breast Augmentation ◽  
Polyacrylamide Hydrogel ◽  
Vacuum Sealing ◽  
Vacuum Sealing Drainage

Early wound repair versus later scar repair in children with treadmill hand friction burns

2021 ◽  
Author(s):  
Rong Zhou ◽  
Lin Qiu ◽  
Jun Xiao ◽  
Xiaobo Mao ◽  
Xingang Yuan
Keyword(s):  
Skin Graft ◽  
Wound Repair ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Vacuum Sealing ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Vacuum Sealing Drainage ◽  
Repair Group ◽  
Hand Friction

Abstract The incidence of pediatric treadmill hand friction burns has been increasing every year. The injuries are deeper than thermal hand burns, the optimal treatment remains unclear. This was a retrospective study of children who received surgery for treadmill hand friction burns from January 1, 2015, to December 31, 2019, in a single burn center. A total of 22 children were surveyed. The patients were naturally divided into two groups: the wound repair group (13 patients), which was admitted early to the hospital after injury and received debridement and vacuum sealing drainage initially, and a full-thickness skin graft later; and the scar repair group (9 patients), in which a scar contracture developed as a result of wound healing and received scar release and skin grafting later. The Modified Michigan Hand Questionnaire score in the wound repair group was 116.31 ± 10.55, and the corresponding score in the scar repair group was 117.56 ± 8.85 (P>0.05), no statistically significant difference. The Vancouver Scar Scale score in the wound repair group was 4.15 ± 1.21, and the corresponding score in the scar repair group was 7.22 ± 1.09 (P<0.05). Parents were satisfied with the postoperative appearance and function of the hand. None in the two groups required secondary surgery. If the burns are deep second degree, third degree, or infected, early debridement, vacuum sealing drainage initially, and a full-thickness skin graft can obviously relieve pediatric pain, shorten the course of the disease, and restore the function of the hand as soon as possible.

Closure of Complex Wounds by a Simple Skin Stretching System Associated With Vacuum Sealing Drainage—Clinical Outcome of 34 Patients

2021 ◽  
pp. 153473462110320
Author(s):  
Yaojun Wu ◽  
Liang Chen ◽  
Xinliang Mao ◽  
Zhengliang Ru ◽  
Liying Yu ◽  
...  
Keyword(s):  
Vacuum Sealing ◽  
Day Range ◽  
Skin Stretching ◽  
Group A ◽  
Group B ◽  
Vacuum Sealing Drainage ◽  
Real Challenge ◽  
Safe Approach ◽  
Large Skin ◽  
Complex Wounds

Management of complex wounds with large skin defects presents a real challenge for orthopedic or reconstructive surgeons. We developed a simple skin stretching system associated with vacuum sealing drainage to examine the efficiency and complication. A total of 34 patients with different types of complex wounds were retrospectively included from January 2015 to March 2021. All patients in the study were underwent the treatment by 2 stages. The method was used to the wounds from 4.71 to 169.65 cm2 with a median defect size of 25.13 cm2. The median time for wound closure was 11.5 days (range: 5-32 days), although the median absolute reduction was 2.08 cm2/day (range: 0.15-25.66 cm2/day). Depending on the site of the wounds, the cause of the wound, and the rate of max-width/max-length ( W/ L), these complex wounds could be separately divided into several groups. There were statistically significant differences in the median value of the above variables ( P < .05 Kruskal–Wallis test). The results showed that different anatomical sites had different viscoelastic properties, the complex wounds caused by trauma were easier to close than caused by diabetic foot and the complex wounds in group A ( W/ L ＞ 0.5) were more difficult to close than in group B ( W/ L ≤ 0.5). No major complications were encountered in this study. In summary, the results of our study showed that the simple skin stretching system associated with vacuum sealing drainage was a safe approach for closure of complex wounds. Nevertheless, more attention should be paid to the viscoelasticity of the wounds to ensure closure and avoid undue complications when applying the method.

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