Clinical Case Of Treatment Of Infected Wound In The Groin With Vascular Graft Affection
DOI:
https://doi.org/10.11603/2414-4533.2017.1.7322Keywords:
infectious hip wound, syntetic vessel prothesis, reconstructive surgical treatment.Abstract
The aim of the study: to learn the clinical case of complicated infected postoperative wound of patient’s thigh after the reconstruction of the distal anastomosis of bifurcation alloprosthesis and analyze the results of treatment with V.A.C. therapy.
The article presents the clinical case of infected wound of patient’s thigh after reconstruction of distal anastomotic pseudoaneurysm three years after the aorto- bifemoral graft placement. Approach to treatment of complicated postoperative wound combined systemic antibiotic therapy with local vacuum-assisted wound therapy. The pathogens and selected targeted antibiotic therapy was verified on the basis of wound culture results for pathogenic microflora with sensitivity to antibiotics. Local clinical effect of vacuum-assisted therapy was detected in adequate drainage of content of complicated infected wound. The use of such combination therapy for the given patient enabled to achieve positive dynamics of surgical site infection with complete elimination of the nidus of infection in seven weeks. The abovementioned combination therapy is an effective comprehensive approach to healing postoperative wounds. Long-term follow-up of the patient for six months confirmed the absence of wound infection and signs of pseudoaneurysm.
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