Effects of vacuum sealing drainage technique in acute and chronic suppurative tenosynovitis of hand
10.3760/cma.j.issn.0529-5815.2017.05.015
- VernacularTitle: 负压封闭冲洗引流治疗手部急慢性化脓性腱鞘炎的疗效分析
- Author:
Huan WANG
1
;
Fang XIA
;
Danmou XING
;
Dong REN
;
Wei FENG
;
Yan CHEN
;
Zhihong XIAO
;
Zhiming ZHAO
Author Information
1. Department of Hand Surgery, Puai Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
- Publication Type:Journal Article
- Keywords:
Suppurative tenosynovitis;
Infection;
Finger;
Vacuum sealing drainage;
Prognosis
- From:
Chinese Journal of Surgery
2017;55(5):384-388
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of vacuum sealing drainage technique in acute and chronic suppurative tenosynovitis of hand.
Methods:A total of 9 cases acute and chronic suppurative tenosynovitis patients from January 2013 to April 2015 in Puai Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology were retrospectively reviewed. There were 6 males and 3 females, aging from 27 to 65 years, the average age was 55 years. There were 3 cases of index finger, 3 cases of middle finger, 2 cases of ring finger, 1 case include three fingers. The infection causes included stabbing with fishbone in 3 cases, stabbing with animal bone fragments in 3 cases, wound by sawdust in 3 cases, meat grinder injury in 1 case, multiple fingers crush injury postoperative infection of garbage truck in 1 case. Bacterial infection included 2 cases with Staphylococcus aureus, 2 cases with Staphylococcus epidermidis, 1 case with normal Escherichia coli, 1 case with mixed infection of Enterobacter aerogenes, Klebsiella oxytoca and Staphylococcus, 1 case with Bauman Acinetobacter bacillus, 1 case with Proteus mirabilis and 1 case of no growth of pathogenic bacteria culture. After thorough debridement, vacuum sealing drainage was used to observe the characteristics of irrigation fluid, the formation of cavity inflammation, the prognosis of infection and the recovery of finger function.
Results:Seven patients with suppurative tenosynovitis were treated for 7 to 14 days, replaced the vacuum sealing drainage dressing once; 1 patient was an illustration of the finger tip defect flap infected patients after 21 days of treatment, replaced the vacuum sealing drainage dressing twice, 1 patient was an illustration of the central refers to trauma, postoperative infection patients 28 d, replaced three times in the VSD. The follow-up time was 3 to 12 months (mean 8.2 months), 7 patients without tendon necrosis, secondary suture with no infection, 2 cases of traumatic surgery of patients with infection, tendon necrosis was removed, the infection has been effectively controlled, secondary suture with no infection. There were 6 cases were good and 3 cases were poor in the evaluation of postoperative finger function.
Conclusion:Thoroughly debridement after vacuum sealing drainage in the treatment of suppurative tenosynovitis of hand has satisfactory curative effect.
