Treatment of prosthetic vascular graft infection in the groin with ultrasound debridement: A case report
| Autor: | Shunya Shindo, Hidenori Inoue, Makoto Haga |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Chronic wound
medicine.medical_specialty medicine.medical_treatment Ischemia Prosthetic graft infection Anastomosis 03 medical and health sciences 0302 clinical medicine Vascular graft infection Case report medicine Chronic limb-threatening ischemia Polytetrafluoroethylene graft Ultrasound debridement Debridement Groin business.industry Ultrasound General Medicine medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| Popis: | Introduction Prosthetic graft infection (PGI) is associated with low patient survival rates. The effectiveness of ultrasound debridement in chronic wound healing has been previously reported; however, data on the use of ultrasound technology and its effect on the treatment of PGI are still lacking. We report a case in which PGI in the groin was managed by graft removal using ultrasound debridement. Presentation of case A 70-year-old man was diagnosed with chronic limb-threatening ischemia and underwent a femoral-femoral bypass with a polytetrafluoroethylene graft. Eight months postoperatively, he developed an infection at the femoral incision site. Graft removal was performed using ultrasound debridement. The estimated blood loss was 10 mL. The wound healed, and the patient has remained in good health for 2 years postoperatively. Discussion When the ultrasonic probe is applied to the wound, ultrasonic energy penetrates into the tissue, and a fibrinolytic action removes necrotic or infected tissue without removing healthy tissue, thereby minimizing bleeding. Using this technique, we were able to perform effective debridement at not only the wound but also the anastomosis. Conclusion It is our opinion that this technique can be used to achieve adequate debridement with little bleeding during graft removal and may provide a new option for the treatment of PGI. Highlights • Prosthetic graft infection (PGI) is associated with low patient survival rates. • We present a case in which PGI in the groin was managed by graft removal using ultrasound debridement (UD). • Ultrasonic energy penetrates into the tissue and cleaves dead tissue without removing healthy tissue. • UD can be used to achieve adequate debridement during graft removal and may provide a new option for the treatment of PGI. |
| Databáze: | OpenAIRE |
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