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137573

The Vacuum-Assisted System as A Treatment of Deep Sternal Wound Infections Following Cardiac Surgery. Cairo University Hospitals Experience

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Last updated: 24 Dec 2024

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Abstract

Background: The vacuum-assisted system in wound closure (VAC) is a new modality, which is recently used widely as a treatment of severely infected wounds. It is a noninvasive way that improves healing of severely infected wounds that fail to respond to conventional ways of treatment. This type of treatment depends on applying air tight controlled negative pressure suction directly to the infected wounds. The mechanism of action of this treatment depends on allowing the growth of healthy granulation tissues of the infected wounds.
Objective: To evaluate the effect of vacuum assisted suction in treatment of deep sternal wound infection after cardiac surgery.
Patients and Methods: In Cairo University Hospitals, in the period between January 2018 and January 2019, 17 patients (6 men, 11 women) with a median age of 62.5 years (range 50 to 75 years) underwent open heart surgery, which was complicated by sternal dehiscence and deep sternal wound infection. All those patients were subjected to the VAC system before any surgical intervention.
Results: All patients involved in this study had complete wound healing without need of any major surgical intervention (muscle or omental flaps) even without wound debridement. The VAC system was applied for a mean of 21.5 days (range 15 to 28 days), VAC system was removed when the wound became completely clean with healthy granulation tissues. After removal of the VAC system, 9 patients (52.9%) were subjected to closure of the skin and subcutaneous tissues by interrupted stitches while the remaining 8 patients (47.1%) the wound was completely closed in all layers up to the skin. Duration of hospital stay varied from 22 to 45 days (median 33.5 days). There were no mortalities among all the patients who were involved in this study.
Conclusion: The VAC system is a noninvasive, safe and very effective as a treatment for deep sternal wound infections following cardiac surgery.

DOI

10.21608/ejhm.2021.137573

Keywords

Deep sternal wound infections, Vacuum assisted system

Authors

First Name

Ahmed S

Last Name

Mahmoud

MiddleName

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Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Cairo University

Email

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City

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Orcid

-

First Name

Rafik F B

Last Name

Soliman

MiddleName

-

Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Menofia University

Email

-

City

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Orcid

-

First Name

Fouad M

Last Name

Rasekh

MiddleName

-

Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Cairo University

Email

-

City

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Orcid

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Volume

82

Article Issue

1

Related Issue

20276

Issue Date

2021-01-01

Receive Date

2021-01-09

Publish Date

2021-01-01

Page Start

37

Page End

39

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 82_Issue 1_Pages 37-39.pdf

PDF . 299.4kB

Link

https://ejhm.journals.ekb.eg/article_137573.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=137573

Order

7

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Vacuum-Assisted System as A Treatment of Deep Sternal Wound Infections Following Cardiac Surgery. Cairo University Hospitals Experience

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Article

Created At

22 Jan 2023