Current treatment of peripheral infected wounds: Our vacuum-assisted closure experiences

Özet

Objectives: In this study, we present our experiences on peripheral vacuum-assisted closure (VAC) applications in our clinic.Patients and methods: Between January 2012 and December 2019, a total of 64 patients (40 males, 24 females; mean age 67.9 years; range,35 to 94 years) undergoing peripheral VAC therapy were retrospectively analyzed. The VAC system was changed at weekly intervals, untila negative culture was obtained or laboratory values returned to normal ranges and were not suggestive of infections.Results: In 16 patients (25%), the main indication for VAC was previous femoral pseudoaneurysm repair. Escherichia coli was the mostcommonly isolated strain from the wound site. The mean length of hospital stay was 54.1 days.Conclusion: Peripheral wound infections cause a significant increase in the length of hospital stay, cost, and mortality. Vacuum-assistedclosure applications may reduce these rates. It is an ideal method to be used throughout surgery to fight against surgical site infections.