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Wound management with vacuum-assisted closure in postoperative infections after surgery for spinal stenosis
OBJECTIVE: To evaluate the results of negative-pressure wound therapy (NPWT) in the treatment of surgical spinal site infections. MATERIALS AND METHODS: The use of NPWT in postoperative infections after dorsal spinal surgery (transforaminal lumbar interbody fusion plus posterior instrumentation) was...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4278792/ https://www.ncbi.nlm.nih.gov/pubmed/25565903 http://dx.doi.org/10.2147/IMCRJ.S76214 |
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author | Karaaslan, Fatih Erdem, Şevki Mermerkaya, Musa Uğur |
author_facet | Karaaslan, Fatih Erdem, Şevki Mermerkaya, Musa Uğur |
author_sort | Karaaslan, Fatih |
collection | PubMed |
description | OBJECTIVE: To evaluate the results of negative-pressure wound therapy (NPWT) in the treatment of surgical spinal site infections. MATERIALS AND METHODS: The use of NPWT in postoperative infections after dorsal spinal surgery (transforaminal lumbar interbody fusion plus posterior instrumentation) was studied retrospectively. From February 2011 to January 2012, six patients (females) out of 317 (209 females; 108 males) were readmitted to our clinic with surgical site infections on postoperative day 14 (range 9–19) and were treated with debridement, NPWT, and antibiotics. We evaluated the clinical and laboratory data, including the ability to retain the spinal hardware and recurrent infections. RESULTS: The incidence of deep postoperative surgical site infection was six (1.89%) patients (females) out of 317 patients (209 females; 108 males) at 1 year. All patients completed their wound NPWT regimen successfully. An average of 5.1 (range 3–8) irrigation and debridement sessions was performed before definitive wound closure. The mean follow-up period was 13 (range 12–16) months. No patient had a persistent infection requiring partial or total hardware removal. The hospital stay infection parameters normalized within an average of 4.6 weeks. CONCLUSION: The study illustrates the usefulness of NPWT as an effective adjuvant treatment option for managing complicated deep spinal surgical wound infections. |
format | Online Article Text |
id | pubmed-4278792 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-42787922015-01-06 Wound management with vacuum-assisted closure in postoperative infections after surgery for spinal stenosis Karaaslan, Fatih Erdem, Şevki Mermerkaya, Musa Uğur Int Med Case Rep J Case Series OBJECTIVE: To evaluate the results of negative-pressure wound therapy (NPWT) in the treatment of surgical spinal site infections. MATERIALS AND METHODS: The use of NPWT in postoperative infections after dorsal spinal surgery (transforaminal lumbar interbody fusion plus posterior instrumentation) was studied retrospectively. From February 2011 to January 2012, six patients (females) out of 317 (209 females; 108 males) were readmitted to our clinic with surgical site infections on postoperative day 14 (range 9–19) and were treated with debridement, NPWT, and antibiotics. We evaluated the clinical and laboratory data, including the ability to retain the spinal hardware and recurrent infections. RESULTS: The incidence of deep postoperative surgical site infection was six (1.89%) patients (females) out of 317 patients (209 females; 108 males) at 1 year. All patients completed their wound NPWT regimen successfully. An average of 5.1 (range 3–8) irrigation and debridement sessions was performed before definitive wound closure. The mean follow-up period was 13 (range 12–16) months. No patient had a persistent infection requiring partial or total hardware removal. The hospital stay infection parameters normalized within an average of 4.6 weeks. CONCLUSION: The study illustrates the usefulness of NPWT as an effective adjuvant treatment option for managing complicated deep spinal surgical wound infections. Dove Medical Press 2014-12-22 /pmc/articles/PMC4278792/ /pubmed/25565903 http://dx.doi.org/10.2147/IMCRJ.S76214 Text en © 2015 Karaaslan et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Case Series Karaaslan, Fatih Erdem, Şevki Mermerkaya, Musa Uğur Wound management with vacuum-assisted closure in postoperative infections after surgery for spinal stenosis |
title | Wound management with vacuum-assisted closure in postoperative infections after surgery for spinal stenosis |
title_full | Wound management with vacuum-assisted closure in postoperative infections after surgery for spinal stenosis |
title_fullStr | Wound management with vacuum-assisted closure in postoperative infections after surgery for spinal stenosis |
title_full_unstemmed | Wound management with vacuum-assisted closure in postoperative infections after surgery for spinal stenosis |
title_short | Wound management with vacuum-assisted closure in postoperative infections after surgery for spinal stenosis |
title_sort | wound management with vacuum-assisted closure in postoperative infections after surgery for spinal stenosis |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4278792/ https://www.ncbi.nlm.nih.gov/pubmed/25565903 http://dx.doi.org/10.2147/IMCRJ.S76214 |
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