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THE JOURNAL OF CARDIOVASCULAR SURGERY
Rivista di Chirurgia Cardiaca, Vascolare e Toracica
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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ORIGINAL ARTICLES VASCULAR SECTION
The Journal of Cardiovascular Surgery 2003 Dicembre;44(6):757-61
Topical negative pressure therapy. A very useful new method to treat severe infected vascular approaches in the groin
Demaria R. G. 1, Giovannini U. M. 2, Téot L. 2, Frapier J.-M. 1, Albat B. 1
1 Department of Cardiovascular Surgery Arnaud de Villeneuve Hospital, Montpellier, France
2 Department of Plastic Surgery and Burn Unit Lapeyronie Hospital University Hospital of Montpellier, Montpellier, France
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Aim. The treatment of infected vascular surgery sites is challenging. Negative pressure applied uniformly to the entire wound surface has been shown to allow granulation tissue formation and to promote healing of acute and chronic wounds.
Methods. We used the Vacuum-Assisted Closure (VAC, Kinetic Concepts Incorporated, San Antonio, Texas, USA) system in 4 patients with severe groin wound infection after emergency surgery on the femoral artery.
Results. In all 4 patients, general health improved and the wound changed rapidly from a large infected cavity to a minor lesion readily covered using a simple surgical technique.
Conclusion. This study establishes VAC as a very valuable tool for managing severe complications of groin vascular surgery sites even in patients with obesity and/or diabetes mellitus.