doiSerbia

Using vacuum in the treatment of surgical wounds complications

Drašković Miroljub (Vojnomedicinska akademija, Klinika za vaskularnu hirurgiju, Beograd)
Leković Ivan (Vojnomedicinska akademija, Klinika za vaskularnu hirurgiju, Beograd)
Bjelanović Zoran (Vojnomedicinska akademija, Klinika za vaskularnu hirurgiju, Beograd)
Mišović Sidor (Vojnomedicinska akademija, Klinika za vaskularnu hirurgiju, Beograd)
Kozarski Jefta (Vojnomedicinska akademija, Klinika za plastičnu hirurgiju i opekotine, Beograd)

Background/Aim. Using vacuum in medicine has been known from long ago, however, it has not been used for the treatment of wounds. The first experiments in this field were performed by Wagner Fleischmann, University of Ulm, Ulm, West Germany, in 1993. The aim of this study was to present our clinical experience with the treatment of surgical wounds complications in vascular patients by the use of controled vacuum. Method. In a period October 2006 - December 2009 a total of 18 patients with infection and surgical wound dehiscence were treated by the use of vacuum. Vacuum was applied to wounds by placing a polyurethane sponge on them and by fixing a polyurethane foil and a sponge to the surrounding healthy skin so to completely airtight wounds. Over a foil vacuum of - 150 mmHg was applied for a 5-day period, and on the day 6 a foil and a sponge were removed. Results. In all the 18 wounds treated by the use of vacuum secondary wound closing was achieved with no complications and with a significantly shortened time period treatment. Wound infections were healed using this method and only in 2 patients antibiotics were used at the same time. Conclusion. The use of vacuum in the treatment of operative wounds complications is an easy and reliable method contributing significantly to wounds better healing.

Keywords: surgical wound infection, surgical wound dehiscence, wound healing, vacuum