[Treatment of the infected wound with exposed silver-ring vascular graft and delayed Thiersch method of skin transplant covering ].
Although the incidence of prosthetic infection is low (1%-6%), the consequences (limb loss or death) are dramatic for a patient, with high mortality rate (25%-75%) and limb loss in 40%-75% of cases. In case of Szilagyi's grade III infection, standard procedure consists of the excision of prosthesis and wound debridement. Alternative method is medical treatment. This is a case report of a patient with prosthetic infection of Silver-ring graft, used for femoropopliteal reconstruction, in whom an extreme skin necrosis developed in early postoperative period. This complication was successfully treated medically. After repeated debridement and wound-packing, the wound was covered using Thiersch skin graft.
Nenezić
Dragoslav
D
Department of Vascular Surgery, Dedinje Cardiovascular Institute, Belgrade. neneza@eunet.yu
Pandaitan
Simon
S
Ilijevski
Nenad
N
Matić
Predrag
P
Gajin
Predag
P
Radak
Dorde
D
D001807:Blood Vessel Prosthesis / Q000009:adverse effects; D019917:Blood Vessel Prosthesis Implantation; D003646:Debridement; D020878:Device Removal; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006119:Groin; D006801:Humans; D008875:Middle Aged; D011150:Popliteal Artery / Q000601:surgery; D016459:Prosthesis-Related Infections / Q000628:therapy*; D012834:Silver; D016038:Skin Transplantation / Q000379:methods; D013530:Surgical Wound Infection / Q000628:therapy*
D012834:Silver