Treatment of traumatically cutaneous necrosis of buttocks using vacuum sealing drainage combined with ileostomy

Su, Hao; Juan, Lu; Wan, Xin

doi:10.1007/s00068-015-0509-9

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…A continuous negative pressure sealing environment is constructed by drainage through silica gel tubes and closure of the wound with physiological-permeability adhesive film. This can thoroughly remove the necrosis and exudates 12 . The VSD material has good histocompatibility and is not easy to adhere to.…”

Section: Discussionmentioning

confidence: 99%

Cefazolin sodium pentahydrate combined with vacuum sealing drainage in the treatment of open fracture complicated with soft tissue injury

Lou

Zhang

et al. 2020

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE To investigate the clinical efficacy of cefazolin sodium pentahydrate combined with vacuum sealing drainage (VSD) in the treatment of open fracture complicated with soft tissue injury. METHODS Sixty-three patients with open fracture complicated with soft tissue injury were divided into observation (n = 33) and control (n = 30) groups. After surgical reduction, fixation, and repair of the fractures, the control group was treated with VSD for 10 days, and the observation group was treated with cefazolin sodium pentahydrate based on VSD for 10 days. The infection control time was recorded. After treatment, the pain of patients was evaluated. Before and after treatment, the serum levels of C-reactive protein (CRP), interleukin (IL)-6, IL-8, tumor necrosis factor α (TNF-α), cortisol, epinephrine, norepinephrine, and glucose were detected. After 6 months of treatment, the total effective rate of the treatment was evaluated. RESULTS The infection control time and Visual Analogue Scale score after treatment in the observation group were significantly lower than in the control group, respectively (P < 0.05). After the treatment, the serum levels of CRP, IL-6, IL-8, TNF-α, cortisol, epinephrine, norepinephrine, and glucose in each group were significantly lower than before the treatment (P < 0.05), and each index in observation was significantly lower than in the control group (P < 0.05). CONCLUSIONS In the treatment of open fractures complicated with soft tissue injury, cefazolin sodium pentahydrate combined with VSD can effectively reduce inflammation and stress, thus improving the treatment efficacy.

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Section: Discussionmentioning

confidence: 99%

Cefazolin sodium pentahydrate combined with vacuum sealing drainage in the treatment of open fracture complicated with soft tissue injury

Lou

Zhang

et al. 2020

Rev. Assoc. Med. Bras.

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“…If treatment of the traumatic conditionis not allowed or not timely, this often leads to progressive necrosis of skin and soft tissue, and eschar formation, which are the main clinical features of skin avulsion. The causes of skin necrosis are mostly direct damage, blunt shear and subcutaneous tissue prowl separation [23].…”

Section: Discussionmentioning

confidence: 99%

Treatment of large avulsion injury in perianal, sacral, and perineal regions by island flaps or skin graft combined with vacuum assisted closure

Yang

et al. 2019

BMC Surg

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Background Traumatic avulsion injuries to the anus, although uncommon, can result in serious complications and even death. Management of anal avulsion injuries remains controversial and challenging. This study aimed to investigate the clinical effects of treating large skin and subcutaneous tissue avulsion injuries in the perianal, sacral, and perineal regions with island flaps or skin graft combined with vacuum assisted closure. Methods Island flaps or skin graft combined with vacuum assisted closure, diverting ileostomy, the rectum packed with double-lumen tubes around Vaseline gauze, negative pressure drainage with continuous distal washing, wounds with skin grafting as well as specialized treatment were performed. Results The injuries healed in all patients. Six cases had incomplete perianal avulsion without wound infection. Wound infection was seen in four cases with annular perianal avulsion and was controlled, and the separated prowl lacuna was closed. The survival rate in 10 patients who underwent skin grafting was higher than 90%. No anal stenosis was observed after surgery, and ileostomy closure was performed at 3 months (six cases) and 6 months (four cases) after surgery, respectively. Conclusions Covering a wound with an island flap or skin graft combined with vacuum assisted closure is successful in solving technical problems, protects the function of the anus and rapidly seals the wound at the same time.

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“…Serially lavage and debridement every seven days is supported in the literature. [12,13] The interval between debridements can be shortened if necessary, depending on the appearance of the wound. Finally, the RNPT system plays a prominent role in the infection management and successful healing of the large wounds.…”

Section: Discussionmentioning

confidence: 99%

Combined treatment with vacuum sealing drainage, TopClosure device, and Ilizarov technique for traumatic hemipelvectomy

Shi

Hong

et al. 2019

Medicine

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Rationale:Traumatic hemipelvectomy is a rare but lethal catastrophic injury.Patient concerns:A case of a very young child with open fracture of left sacroiliac joint dislocation and pubic symphysis diastasis, suffered from a severe large-size soft tissue defects.Diagnosis:Traumatic hemipelvectomy.Interventions:Complete amputation was performed and three kinds of surgical techniques including regulated negative pressure-assisted wound therapy (RNPT), TopClosure device, and Ilizarov technique were jointly utilized to secure closure in the further revisions of the soft tissue injury and reconstruct reconstructive surgery.Outcomes:Six months after hospital discharge, the patient was able to ambulate with a single limb and a prosthesis and she is independent in many activities of daily living currently.Lessons:We report this case to share experience with other clinicians in the management of this deadly extensive defects after traumatic hemipelvectomy in patients.

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Treatment of traumatically cutaneous necrosis of buttocks using vacuum sealing drainage combined with ileostomy

Abstract: Treating traumatically cutaneous necrosis of buttocks with vacuum sealing drainage and ileostomy can gain good therapeutic effect.

Cited by 5 publications

References 9 publications

Cefazolin sodium pentahydrate combined with vacuum sealing drainage in the treatment of open fracture complicated with soft tissue injury

Cefazolin sodium pentahydrate combined with vacuum sealing drainage in the treatment of open fracture complicated with soft tissue injury

Treatment of large avulsion injury in perianal, sacral, and perineal regions by island flaps or skin graft combined with vacuum assisted closure

Combined treatment with vacuum sealing drainage, TopClosure device, and Ilizarov technique for traumatic hemipelvectomy

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