Ending surgical site infection by negative pressure wound therapy (NPWT): A case report.
Case report
Diabetes mellitus
Negative pressure wound therapy
Surgical wound infection
Wounds
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
May 2022
May 2022
Historique:
received:
14
02
2022
revised:
10
04
2022
accepted:
10
04
2022
entrez:
5
6
2022
pubmed:
6
6
2022
medline:
6
6
2022
Statut:
ppublish
Résumé
Hundreds of millions of people may go through surgery every year worldwide. Surgical site infection (SSI) is one of the most common complications of the surgery. SSI increases the duration of treatment, delays wound healing, increases the use of antibiotics, and in severe cases, causes patient death and imposes high costs on the patient and the health care system. The present case report is a 45-year-old man with a history of 8-years type 2 diabetes who underwent surgery for a pilonidal cyst. Despite routine dressing changes (cleansing the wound with saline and applying sterile gauze) twice a day and intravenous (IV) antibiotic therapy, no improvement was observed and the wound became infected. The patient was referred to our wound care team. NPWT (applying a pressure of 125 mm Hg intermittently) was performed 4 times a day for one week. Also, after each session until the beginning of the next session, the patient's wound was bandaged. The patient's wound healed completely after about 2 months. Patients with diabetes mellitus will have difficulty in wound healing due to microvascular changes. Thus, efficient therapeutic methods such as surgical debridement, maggot therapy, and NPWT are necessary for management of surgical site infection. This case report was showed that NPWT is an affordable and highly efficacious treatment method for management of SSI in patients with diabetes mellitus. Therefore, it is suggested that wound care teams may use NPWT to treat SSIs.
Identifiants
pubmed: 35658277
pii: S2210-2612(22)00326-1
doi: 10.1016/j.ijscr.2022.107080
pmc: PMC9171532
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
107080Informations de copyright
Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.
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