Predictors for Outcome after Vacuum Assisted Closure Therapy of Peri-vascular Surgical Site Infections in the Groin.
Svensson, S ; Monsen, C ; Kölbel, Tilo LU and Acosta, Stefan LU
(2008)
In European journal of vascular and endovascular surgery
36(1).
p.84-89
- Abstract
- OBJECTIVES: To assess outcomes (wound healing, amputation and mortality) after vacuum assisted closure (VAC((R))) therapy of peri-vascular surgical site infections in the groin after arterial surgery. DESIGN: Retrospective study. MATERIALS: Thirty-three groins received VAC((R)) therapy between August 2004 and December 2006 at Vascular Centre, Malmö University Hospital. METHODS: Following surgical revision, VAC((R)) therapy was applied in the groin at a continuous topical negative pressure of 125mmHg. The median follow up time was 16 months. RESULTS: Median age was 75 years. Twenty-three (70%) cases underwent surgery for lower limb ischaemia. Intestinal flora was present in 88% of the wound cultures. Median duration of VAC((R)) therapy was... (More)
- OBJECTIVES: To assess outcomes (wound healing, amputation and mortality) after vacuum assisted closure (VAC((R))) therapy of peri-vascular surgical site infections in the groin after arterial surgery. DESIGN: Retrospective study. MATERIALS: Thirty-three groins received VAC((R)) therapy between August 2004 and December 2006 at Vascular Centre, Malmö University Hospital. METHODS: Following surgical revision, VAC((R)) therapy was applied in the groin at a continuous topical negative pressure of 125mmHg. The median follow up time was 16 months. RESULTS: Median age was 75 years. Twenty-three (70%) cases underwent surgery for lower limb ischaemia. Intestinal flora was present in 88% of the wound cultures. Median duration of VAC((R)) therapy was 20 days and 27 (82%) wounds healed within 55 days. One serious VAC((R)) associated bleeding and three late false femoral artery aneurysms were reported. The median cost of VAC((R)) treatment was 2.7% of the in-hospital costs. Synthetic vascular graft infection (n=21) was associated with adverse infection-related events (n=9; p=0.012). Non-healing wounds were associated with amputation (p=0.005) and death (p<0.001). CONCLUSIONS: VAC((R)) treated synthetic vascular graft infections in the groin were at a greater risk of developing infection-related complications. Non-healing surgical site infections after VAC((R)) therapy were associated with amputation and death. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1041580
- author
- Svensson, S
; Monsen, C
; Kölbel, Tilo
LU
and Acosta, Stefan
LU
- organization
- publishing date
- 2008
- type
- Contribution to journal
- publication status
- published
- subject
- in
- European journal of vascular and endovascular surgery
- volume
- 36
- issue
- 1
- pages
- 84 - 89
- publisher
- Elsevier
- external identifiers
-
- pmid:18294875
- wos:000257856300016
- scopus:45749086056
- pmid:18294875
- ISSN
- 1532-2165
- DOI
- 10.1016/j.ejvs.2007.12.020
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Unit for Clinical Vascular Disease Research (013242410), Emergency medicine/Medicine/Surgery (013240200)
- id
- 31c699ab-8f0f-46ea-a15c-428f0f75bd20 (old id 1041580)
- date added to LUP
- 2016-04-04 09:07:47
- date last changed
- 2022-05-16 22:50:05
@article{31c699ab-8f0f-46ea-a15c-428f0f75bd20,
abstract = {{OBJECTIVES: To assess outcomes (wound healing, amputation and mortality) after vacuum assisted closure (VAC((R))) therapy of peri-vascular surgical site infections in the groin after arterial surgery. DESIGN: Retrospective study. MATERIALS: Thirty-three groins received VAC((R)) therapy between August 2004 and December 2006 at Vascular Centre, Malmö University Hospital. METHODS: Following surgical revision, VAC((R)) therapy was applied in the groin at a continuous topical negative pressure of 125mmHg. The median follow up time was 16 months. RESULTS: Median age was 75 years. Twenty-three (70%) cases underwent surgery for lower limb ischaemia. Intestinal flora was present in 88% of the wound cultures. Median duration of VAC((R)) therapy was 20 days and 27 (82%) wounds healed within 55 days. One serious VAC((R)) associated bleeding and three late false femoral artery aneurysms were reported. The median cost of VAC((R)) treatment was 2.7% of the in-hospital costs. Synthetic vascular graft infection (n=21) was associated with adverse infection-related events (n=9; p=0.012). Non-healing wounds were associated with amputation (p=0.005) and death (p<0.001). CONCLUSIONS: VAC((R)) treated synthetic vascular graft infections in the groin were at a greater risk of developing infection-related complications. Non-healing surgical site infections after VAC((R)) therapy were associated with amputation and death.}},
author = {{Svensson, S and Monsen, C and Kölbel, Tilo and Acosta, Stefan}},
issn = {{1532-2165}},
language = {{eng}},
number = {{1}},
pages = {{84--89}},
publisher = {{Elsevier}},
series = {{European journal of vascular and endovascular surgery}},
title = {{Predictors for Outcome after Vacuum Assisted Closure Therapy of Peri-vascular Surgical Site Infections in the Groin.}},
url = {{http://dx.doi.org/10.1016/j.ejvs.2007.12.020}},
doi = {{10.1016/j.ejvs.2007.12.020}},
volume = {{36}},
year = {{2008}},
}