Abstract | BACKGROUND: METHODS: We conducted a retrospective study of 18 patients with wound infections after posterior spinal surgery from 2014 to 2017 at a single tertiary center. All patients included in the study received modified VAC treatment (VAC combined with a closed suction irrigation system, CSIS) until the wound satisfied the secondary closure conditions. Detailed information was obtained from the medical records. RESULTS:
Wound size decreased significantly after 1 week of the modified VAC treatment. Three patients were treated with VAC three times and one patient received the VAC treatment four times; the remaining patients received the VAC treatment twice. The patients had excellent wound beds after an average of 8 days. The wound healed completely after an average of 17 days, and the average hospital stay was 33 days. There was no recurrence of infection at the 1-year follow-up. CONCLUSIONS: This study demonstrates that VAC combined with a CSIS is a safe, reliable, and effective method to treat a wound infection after spinal surgery. This improved VAC procedure provides an excellent wound bed to facilitate wound healing and shorten the hospital stay.
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Authors | Kai Chen, Jin-Ti Lin, Shuai-Bo Sun, Jian Lin, Jian-Zhong Kong, Nai-Feng Tian |
Journal | Journal of orthopaedic surgery and research
(J Orthop Surg Res)
Vol. 13
Issue 1
Pg. 321
(Dec 17 2018)
ISSN: 1749-799X [Electronic] England |
PMID | 30558614
(Publication Type: Evaluation Study, Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Bacterial Infections
(pathology, therapy)
- Female
- Follow-Up Studies
- Humans
- Male
- Middle Aged
- Negative-Pressure Wound Therapy
(methods)
- Retrospective Studies
- Spinal Fusion
- Suction
(methods)
- Surgical Wound Infection
(pathology, therapy)
- Therapeutic Irrigation
(methods)
- Treatment Outcome
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