The utility of portable negative pressure wound therapy in the management of prosthetic dialysis arteriovenous graft infection
| Autor: | Shingo Shioji, Madoka Tanabe, Shota Aki, Megumi Otani, Hiroyuki Tanaka, Suguru Hirasawa, Nobuhisa Morimoto, Makoto Aoyagi, Atsuhiro Imono |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Prosthetic graft Prosthesis-Related Infections medicine.medical_treatment 030232 urology & nephrology 030204 cardiovascular system & hematology Blood Vessel Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine Renal Dialysis Negative-pressure wound therapy medicine Humans Localized infection Vascular Patency Dialysis Retrospective Studies Partial excision business.industry Combined approach Anti-Bacterial Agents Blood Vessel Prosthesis Surgery Arteriovenous graft infection Treatment Outcome surgical procedures operative Nephrology business Negative-Pressure Wound Therapy Graft preservation |
| Zdroj: | The Journal of Vascular Access. 22:673-676 |
| ISSN: | 1724-6032 1129-7298 |
| Popis: | The management of prosthetic dialysis arteriovenous graft infection comprises antibiotic treatment and total or partial excision of infected grafts for infectious source control. Partial excision with graft bypass is an important graft preservation strategy for localized infection but carries a higher reinfection risk. Here, we report a case of prosthetic graft infection that was successfully treated with partial excision, a graft bypass procedure, and a portable negative pressure wound therapy system, PICO, applied to the open wound postoperatively. The combined approach may be a useful strategy that decreases reinfection risk, shortens the length of hospital stay, and preserves graft patency. |
| Databáze: | OpenAIRE |
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