Vacuum-assisted closure (VAC) for bilateral severe ischemic foot after revascularization: A patient report

被引：0

作者：

Nishimura, Kengo ^{[1
]}

Kanaoka, Yasushi ^{[1
]}

Harada, Shingo ^{[1
]}

Saiki, Munehiro ^{[1
]}

Marumoto, Akira ^{[1
]}

Nakamura, Yoshinobu ^{[1
]}

Nishimura, Motonobu ^{[1
]}

机构：

[1] Tottori Univ, Fac Med, Dept Surg, Div Organ Regenerat Surg,Sch Med, Yonago, Tottori 6838054, Japan

来源：

YONAGO ACTA MEDICA | 2008年 / 51卷 / 01期

关键词：

peripheral aortic disease; severe ischemic foot; vacuum-assisted closure;

D O I：

暂无

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

The Vacuum-Assisted Closure (VAC) Therapy (KCI, San Antonio, TX) is a unique system that helps promote wound healing. We report a case of severe ischemic foot in which VAC therapy markedly improved wound healing. A 73-year-old man underwent left axillopopliteal bypass and left 3rd, 4th and 5th digital amputations for gangrene. Although his amputation stumps were complicated with methicillin-resistant Staphylococcus aureus (MRSA) infection, the stumps were successfully healed by VAC. He also had gangrene in his right 1st toe, which could not healed by VAC alone, and we performed right femoropopliteal bypass and right 1st digital amputation. The stump with MRSA infection was also successfully healed by VAC. Histopathologic examination revealed a lot of microvessels in the increased granulation tissue.

引用

页码：11 / 15

页数：5

共 8 条

[1] Vacuum-assisted closure: A new method for wound control and treatment: Clinical experience
Argenta, LC
Morykwas, MJ
[J]. ANNALS OF PLASTIC SURGERY, 1997, 38 (06) : 563 - 576
[2] Negative pressure wound therapy after partial diabetic foot amputation: a multicentre, randomised controlled trial
Armstrong, DG
Lavery, LA
[J]. LANCET, 2005, 366 (9498) : 1704 - 1710
[3] Vacuum-assisted wound closure of deep sternal infections in high-risk patients after cardiac surgery
Cowan, KN
Teague, L
Sue, SC
Mahoney, JL
[J]. ANNALS OF THORACIC SURGERY, 2005, 80 (06) : 2205 - 2212
[4] HAGA M, 2005, JPN J VASC SURG, V14, P689
[5] MCCALLON S.K., 2000, OSTOMY WOUND MANAGE, V46, P28
[6] Vacuum-assisted closure: A new method for wound control and treatment: Animal studies and basic foundation
Morykwas, MJ
Argenta, LC
SheltonBrown, EI
McGuirt, W
[J]. ANNALS OF PLASTIC SURGERY, 1997, 38 (06) : 553 - 562
[7] NISHIMURA K, 2006, WOUND REPAIR REGEN, V15, P645
[8] Vacuum-assisted closure: Micro deformations of wounds and cell proliferation
Saxena, V
Hwang, CW
Huang, S
Eichbaum, Q
Ingber, D
Orgill, DP
[J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2004, 114 (05) : 1086 - 1096

← 1 →