Vacuum-Assisted Closure for Infections after Cardiovascular Surgery
10.4326/jjcvs.35.127
- VernacularTitle:心臓大血管手術後の創感染に対するｖａｃｕｕｍ‐ａｓｓｉｓｔｅｄ ｃｌｏｓｕｒｅによる新しい治療法
- Author:
Ryuji Higashita
;
Tohru Asai
;
Shoichiro Shiraishi
;
Keiji Matsubayashi
;
Takao Nishi
;
Masato Kurokawa
- Publication Type:Journal Article
- Keywords:
vacuum-assisted closure;
wound bed preparation
- From:Japanese Journal of Cardiovascular Surgery
2006;35(3):127-131
- CountryJapan
- Language:Japanese
-
Abstract:
We employed vacuum-assisted closure (VAC) as a treatment modality for wound complications after cardiovasular surgery. Between March and December 2004, 9 patients were treated with VAC, 8 of whom were men, and the mean age was 69.6 years old. Seven patients underwent off-pump coronary artery bypass, and 2 underwent a valve replacement. Six of them had diabetes, 5 had renal dysfunction (4 were dialysis patients), and 2 had chronic obstructive lung disease. Six cases were classified as superficial sternal infection (Superficial) and 3 as a deep sternal infection (Deep). Superficial cases were healed with wound closure after a short period of VAC treatment. However, Deep cases required long duration of VAC treatment and wound closure with a myocutaneous flap in 2 cases, although all of them did not develop mediastinitis requiring closed irrigation and drainage. In 9 cases, with numerous risk factors for poor healing, we found that VAC treatment facilitated wound healing and reduced frequent painful wound care.
