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, until
a 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 most
commonly 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-assisted
closure applications may reduce these rates. It is an ideal method to be used throughout surgery to fight against surgical site infections.
Key words: Cost analysis, negative-pressure wound therapy, peripheral vascular diseases, surgical wound infection
|
