Wound management with vacuum assisted closure in surgical site infection after ankle surgery

International Journal of Surgery
Zhen-Yu ZhouFan Liu

Abstract

The aim of this study was to compare the efficacy of vacuum assisted closure (VAC) with standard moist wound care (SMWC) in surgical site infection after ankle surgery. A prospective cohort was performed among patients with surgical site infection after ankle surgery between 2012 and 2013. The follow-up period was three month, and the efficacy end point was complete wound closure rate. Ninety-four patients were analyzed, with 61 patients in the VAC group and 33 in the SMWC group. The complete wound closure rate in the VAC group was higher than that in the SMWC group at 3 month follow up (90.2% Vs. 72.7%, p = 0.028). The median time to complete wound closure was 31 days (95% CI 20.2-41.8) for VAC, and 63 days (95% CI 46.9-79.1) for SMWC (χ(2) = 4.023, p = 0.045). In the superficial infection subgroup, the median times to complete wound closure were 20 days (95% CI 14.2-35.1) in the VAC group and 42 days (95% CI 35.4-69.4) in SMWC group (χ(2) = 4.331, p = 0.041). In the deep subgroup, the median times to complete wound closure were 46 days (95% CI 28.2-65.9) in the VAC group and 75 days (95% CI 43.2-79.6) in SMWC group (χ(2) = 6.475, p = 0.026). Our result showed that vacuum assisted closure was more effective than standard moist...Continue Reading

References

Jul 19, 2005·Asian Journal of Surgery·Shao-Zong ChenLong-Shun Xu
Nov 18, 2005·Lancet·David G ArmstrongUNKNOWN Diabetic Foot Study Consortium
Feb 20, 2008·Archives of Surgery·Sven GregorStefan Lange
May 1, 2008·The British Journal of Surgery·D T UbbinkH Vermeulen
Jul 22, 2008·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Chantal M MouësSteven E R Hovius
Jun 4, 2010·Surgical Infections·Tjasa HranjecRobert G Sawyer
Mar 23, 2011·American Journal of Surgery·C M MouësS E R Hovius
Feb 22, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Mindi FeilmeierRachel A Reimer

❮ Previous
Next ❯

Citations

Sep 30, 2016·Orthopedics·Justin StullMark L Wang

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

MMW Fortschritte der Medizin
Andreas FrickT O Engelhardt
European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
S SvenssonS Acosta
Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG
Friederike KauerTino Wetzig
Acta orthopaedica et traumatologica turcica
Ali Engin UlusalCengiz Tuncay
© 2021 Meta ULC. All rights reserved