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[Treatment of an infected vascular prosthesis by irrigation-suction (lavage)]
Abstract:
The number of the infections of vascular prosthesises is more and more increasing in the past few years, in connection with the developing of vascular surgery. In our clinic, all septical complications amount to a 2-3% of the total number of reconstructive vascular interventions (8). In a period of 01. 01. 1980-06. 30. 1988 lavage procedure was performed in 19 cases. In 14 patients a primary wound healing was available, in 2 patients after moving away of the original prosthesis, an extra-anatomical bypass was necessary, and in three patients we could not avoid amputation. The above mentioned method is known in the literature since 1959, but in spite of this, there are few publications--with few cases--about this topic. The authors emphasize the relatively good results of this simple method.
Insights
Wound lavage effectively treats vascular prosthesis infections, leading to primary healing in most cases. This simple procedure offers good results for managing these challenging surgical complications.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Surgical Site Infections
Context:
- Increasing incidence of vascular prosthesis infections necessitates effective treatment strategies.
- Septic complications occur in 2-3% of reconstructive vascular interventions.
- Limited published data exists on managing these infections.
Purpose:
- To evaluate the efficacy of wound lavage for treating infected vascular prostheses.
- To report outcomes of lavage procedures in a clinical setting.
Summary:
- A retrospective review of 19 patients with infected vascular prostheses treated with wound lavage between 1980 and 1988.
- 14 patients achieved primary wound healing.
- 2 patients required extra-anatomical bypass, and 3 necessitated amputation.
Impact:
- Wound lavage is a simple yet effective method for managing vascular prosthesis infections.
- The procedure demonstrates relatively good outcomes, potentially reducing the need for prosthesis removal or amputation.