Background: Infected pseudoaneurysmectomy wounds represent great challenge for every vascular surgeon. Delayed wound healing in such complicated & chronic wounds with co morbidities is a major concern. It leads to the pain, morbidity, prolonged treatment, & require major reconstructive surgery which imposes enormous social & financial burden.
Objective: To evaluate the results & benefits brought by the topical application of VAC in patients with infected pseudoaneurysmectomy wounds.
Patients and Methods: This study was conducted at Al-Azhar University Hospitals & Matariya Teaching Hospital, on 15 patients of different age groups & both sexes.
Results: In correlation of duration of VAC with other fields of assessment there was statistical significance for duration with sex (P value; 0.043), HCV infection (P value; 0.032), IV drug abuse (P value; 0.003), ESRD (P value; 0.003), region of pseudoaneurysm (P value; 0.003), size of wound at start (P value; 0) & number of dressings (P value; 0). In correlation of incidence of complications with the fields of assessment there was statistical significance for complications incidence with presence of HCV infection (P value; 0.029) & wound size (P value; 0.029).
Conclusion: VAC is useful in the treatment of infected pseudoaneurysmectomy wounds. It stabilizes the wound, reduces edema, reduces the bacterial load, improves tissue perfusion & stimulates granulation tissue proliferation. It is simple & effective regarding reduction in wound size, treatment duration & complication incidence.
Keywords: VAC; infected pseudoaneurysm; drug abuse.