[Management of groin wound XXXX after arterial surgery using negative-pressure wound therapy].

@entity1 @entity796 @entity794 @entity2737 @entity281 @entity526
INTRODUCTION: Infection is a serious complication in vascular reconstructive surgery. When the entire graft is infected, its excision and subsequent replacement is the only option of treatment. In case of localised graft @entity281 in the groin, the vascular reconstruction can be saved using negative-pressure wound therapy (NPWT). METHODS: Retrospective study design was used to evaluate the efficiency of NPWT in the treatment of infected inguinal wounds following arterial reconstructive surgery. The assessments included demographic @entity1 characteristics, causative agents, type of reconstruction and NPWT outcome. @entity2737 was graded based on the Szilagyi classification. @entity1 were followed-up for 12 months after the therapy. Complete wound healing, retained graft patency, and no clinical signs or laboratory evidence of @entity281 were regarded as successful results of treatment. RESULTS: Between 2009 and 2012, 20 @entity1 with @entity281 (Szilagyi II and III) following arterial reconstructive surgery were treated by NPWT. The @entity1 group included 12 @entity1 and 8 @entity1 ; mean age was 68.1 years. Nine @entity1 underwent aorto-femoral arterial reconstructions (with vascular prosthesis in 8 cases), and surgery below the inguinal ligament was done in 11 @entity1 (with vascular prosthesis in 7 cases). Of the 20 @entity1 , early @entity281 within 30 days of surgery was recorded in 17 (85%) @entity1 ; Szilagyi grade III groin @entity281 with exposed prosthetic graft was found in 5 (25 %) @entity1 ( @entity281 : early, 4; late, 1). The causative agents isolated from the wound included @entity794 (n=8), @entity796 (n=5) and @entity526 (n=5). Mean NPWT duration was 12.7 days. Wound healing was achieved in 17 @entity1 (success rate, 85 %). @entity1 with early @entity281 showed the best outcomes (92.3%). CONCLUSION: Localised wound @entity281 in the groin after arterial surgery is a serious complication of arterial reconstruction procedures. In eligible @entity1 , such an @entity281 can be treated conservatively using NPWT. The method is most efficient in the management of @entity281 . @entity2737 with @entity796 or those with suture line exposure require special treatment. Long-term follow-up is necessary due to the risk of recurrent @entity281 . KEY WORDS: negative pressure wound therapy vascular prosthesis @entity281 groin.
