Vacuum Sealing Drainage as Treatment of Severe Buttocks and Perianal Infection: A Case Report and Review of the Literature (Care-Compliant).

Abstract

Vacuum sealing is a therapeutic concept to achieve secure and rapid wound healing in traumatic soft tissue damage. Its application and effect in the treatment of severe buttocks and perianal infection are unclear.We describe a case of buttocks and perianal infection using the vacuum sealing drainage (VSD) technique. A 58-year-old man was admitted with buttocks and perianal severe infection, which was caused by injection. The size of the wounds was 40 × 30 cm. Colostomy was applied prior to the prompt surgical debridement to prevent defecation and keep the perianal region clean. Emergency debridement was then conducted. After the wounds were thoroughly washed with conventional disinfection solution, they were then covered by VSD system.The infection was controlled 9 days after the first surgery by prompt surgical debridement, the application of VSD treatment, and the use of narrow-spectrum antibiotics based on susceptibility result. After 3 applications of VSD treatment, skin grafting harvested from the left leg was conducted. All free skin grafts survived at 8 weeks. Colon was placed back into the abdominal cavity finally.Initial colostomy and debridement, the temporary VSD cover followed after several days by skin grafting is a reliable treatment regimen for severe buttocks and perianal infection.

• Authors: Jianqiang Ni, Hongzhi Liu, Xiaoyang Liu, Lugang Zhou, Yujie Sun, Peng Shi, Wei Hao, Hao Su, Xin Wang
• Journal: Medicine (Medicine (Baltimore)) Vol. 94 Issue 43 Pg. e1766 (Oct 2015) ISSN: 1536-5964 [Electronic] United States
• PMID: 26512571 (Publication Type: Case Reports, Journal Article, Review)

Topics

• Buttocks
• Humans
• Infections (etiology, therapy)
• Injections (adverse effects)
• Male
• Middle Aged
• Negative-Pressure Wound Therapy