Vacuum therapy for the prevention of suppurations in sutured soft tissue wounds. First experience-Reference-Cited by-同舟云学术

Vacuum therapy for the prevention of suppurations in sutured soft tissue wounds. First experience

Published:2023-05-06 Issue:4 Volume:9 Page:6-15
ISSN:2500-0594
Container-title:Wounds and wound infections. The prof. B.M. Kostyuchenok journal
language:
Short-container-title:Rany i ranevye infekcii

Author:

Fedjushkin V. V.¹,Pjatakov S. N.²,Baryshev A. G.³,Pjatakova S. N.²,Shсherba S. N.³,Golikov I. V.³,Shubrov E. N.³,Muzhikov S. P.³,Eremenko M. Yu.⁴,Shcherba A. S.⁴

Affiliation:

1. City Hospital No. 4 of the city of Sochi; Dinskaya Central District Hospital

2. City Hospital No. 4 of the city of Sochi; Kuban State Medical University

3. Kuban State Medical University; Territorial Clinical Hospital No. 1, Research Institute named after Prof. S. V. Ochapovsky

4. Kuban State Medical University

Abstract

Infectious and inflammatory processes in sutured soft tissue wounds are met in 3–22% of cases despite the strict following of aseptic and antiseptic rules, application of new antiseptic agents with high bactericidal effect as well as improved techniques for prevention and management of wound infection.Objective. To perform a comparative analysis on healing processes in sutured soft tissue wounds after surgical interventions in which purulent-necrotic processes have developed.Materials and methods. All patients were divided into two groups – main and control. Patients from the main group (n = 58) had vacuum drainage of subcutaneous tissues in sutured wounds after surgery from June 2019 till November 2021. Case-histories of 80 patients from the control group were analyzed retrospectively; the researchers assessed outcomes after surgical management. In these patients, drainage of subcutaneous tissues in sutured wounds after surgery for purulent-necrotic processes in soft tissues was done using the traditional flow-washing technique. Both studied groups were comparable in sex, age and co-morbidity.Results. In the control group, complications in the form of suppurated lesions were noted in 17 (17.5 %) patients. In 10 (12.5 %) patients with marginal skin necrosis, there was suture dehiscence. None of 58 patients from the main group in whom surgical wounds were treated with the technique of vacuum drainage developed by us had any purulent-septic complications. In all cases, wounds healed with the primary intention.Conclusion. The technique of vacuum drainage developed by us allowed to achieve better outcomes at the early postoperative period.

Publisher

RPO Surgical Society - Wound and Wound Infections

Subject

General Medicine

Reference12 articles.

1. Shcherba S. N., Polovinkin V. V. The use of prolonged flow-aspiration drainage of laparotomic wounds in order to reduce the incidence of purulent-septic complications in reconstructive surgery of the intestine = Shcherba S. N., Polovinkin V. V. Primeneniye prolongirovannogo protochno-aspiratsionnogo drenirovaniya laparotomnykh ran s tsel’yu snizheniya chastoty gnoyno-septicheskikh oslozhneniy v vosstanovitel’noy khirurgii kishechnika. Vestnik khirurgii im. Grekova. 2014; 173 (4): 83–86. (In Russ.)

2. Osintsev E. Yu., Slobodskoy A. B., Melsitov V. A. et al. Optimization of aspirationwashing drainage of purulent wounds = Osintsev E. Yu., Slobodskoy A. B., Mel’sitov V. A. i dr. Optimizatsiya aspiratsionno-promyvnogo drenirovaniya gnoynykh ran. Vestnik khirurgii im. Grekova. 2012; 171 (5): 61–64. (In Russ.)

3. Dzhinchveladze D. N., Vazhenin A. V. Wound drainage with “aspiration probedrainage” after lymphadenectomy = Dzhinchveladze D. N., Vazhenin A. V. Drenirovaniye ran “Zond-drenazhom aspiratsionnym” posle limfadenektomiy. Nauka i sovremennost’. 2010; 4 (1): 152–155. (In Russ.)

4. Gubin A. V., Prudnikova O. G. Drainage of postoperative wounds in spinal surgery = Gubin A. V., Prudnikova O. G. Drenirovaniye posleoperatsionnykh ran v khirurgii pozvonochnika. Geniy ortopedii. 2017; 23 (2): 180–186. (In Russ.)

5. Khushvakhtov D. D., Mirzoev M. Sh. Drainage systems and methods for draining wounds in patients with purulent-inflammatory processes in the oral cavity = Khushvakhtov D. D., Mirzoyev M. Sh. Drenazhnyye sistemy i sposoby drenirovaniya ran u bol’nykh s gnoyno-vospalitel’nymi protsessami polosti rta. Vestnik Akademii meditsinskikh nauk Tadzhikistana. 2019; 3 (31): 321–328. (In Russ.)