Vacuum-Assisted Wound Closure Management for Posterior Lumbar Spine Infections

Autor:	Daniel C, Kim, Bayard C, Carlson, Eiman, Shafa, Amir A, Mehbod
Rok vydání:	2022
Předmět:	Lumbar Vertebrae Spinal Fusion Treatment Outcome Humans Surgical Wound Infection Orthopedics and Sports Medicine Surgery Negative-Pressure Wound Therapy Retrospective Studies
Zdroj:	Journal of the American Academy of Orthopaedic Surgeons. 30:395-399
ISSN:	1940-5480 1067-151X
DOI:	10.5435/jaaos-d-17-00032
Popis:	A postoperative infection involving the tissues deep to the fascia is defined as a deep wound infection (DWI). Management of such infections after lumbar spinal surgery remains a challenge. One strategy is the use of vacuum-assisted wound closure (VAC) which applies negative pressure to the wound to improve microcirculation and to promote the formation of granulation tissue. When combined with antibiotics, VAC has been shown to successfully treat DWIs and is now a common strategy for treating deep postoperative wound infections after spinal surgery. In this article, we review the technique of VAC, its mechanism of action, indications and contraindications, and clinical outcomes in the treatment of DWIs after lumbar spinal surgery.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::21da0d5fc4c10e27a9f866a077ccae27 https://doi.org/10.5435/jaaos-d-17-00032 Zobrazit plný text záznamu