[6 years V.A.C. in general surgery -- clinical data from 128 patients].
Since the introduction of vacuum assisted closure therapy (V.A.C.) at the Department of Surgery/St. Anna-Hospital Herne has taken place in 2000 there was a rapid increase of indications to use this therapy. We present data from 128 patients who were treated with this method from 2000-2005 for different kinds of diseases. We report the management of a 78-year-old male patient who developed a Fournier's gangrene after an acute appendicitis with retroperitoneal perforation and an enterocutaneous fistula of the cecum. Using V.A.C. in surgery, a quick and safe treatment of infection and healing could be achieved.
Chirurgische Klinik St. Anna-Hospital, Ausbildungsklinik der Privaten Universität Witten-Herdecke, Herne. bourree@annahospital.de
M
M
Bourrée
J
J
Kozianka
D000368:Aged; D001062:Appendectomy; D002429:Cecal Diseases / Q000601:surgery; D003131:Combined Modality Therapy; D017577:Cutaneous Fistula / Q000601:surgery; D003646:Debridement; D018934:Fournier Gangrene / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000601:surgery; D008297:Male; D009779:Occlusive Dressings / Q000706:statistics & numerical data*; D011182:Postoperative Care; D012086:Reoperation; D012189:Retrospective Studies; D012611:Scrotum / Q000601:surgery; D013514:Surgical Procedures, Operative / Q000639:trends*; D013530:Surgical Wound Infection / Q000453:epidemiology / Q000601:surgery*; D013733:Testicular Diseases / Q000601:surgery; D014600:Utilization Review; D014618:Vacuum; D014945:Wound Healing / Q000502:physiology