Vacuum-assisted closure for bilateral severe ischemic foot after revascularization: a case report.
Vacuum-assisted closure (VAC) therapy is a unique system that helps promote wound healing. We report a case of severe ischemic foot in which VAC therapy markedly improved wound healing. A 73-year-old man underwent left axillopopliteal bypass and left 3rd, 4th , and 5th digital amputations for gangrene. Although his amputation stumps were complicated with methicillin-resistant Staphylococcus aureus (MRSA) infection, the stumps were successfully healed by VAC. He also had gangrene in his right 1st toe, which could not healed by VAC alone, and we performed right femoropopliteal bypass and right 1st digital amputation. The stump with MRSA infection was also successfully healed by VAC. Histopathologic examination revealed a lot of microvessels in the increased granulation tissue.
Nishimura
K
K
Division of Organ Regeneration Surgery, Tottori University Faculty of Medicine, Yonago, Japan. nige@grape.med.tottori-u.ac.jp
Kanaoka
Y
Y
Ishiguro
S
S
Harada
S
S
Shiraya
S
S
Fujiwara
Y
Y
Nakamura
Y
Y
Kamihira
S
S
Nishimura
M
M
D000368:Aged; D000671:Amputation, Surgical; D005528:Foot / Q000098:blood supply*; D005734:Gangrene; D006801:Humans; D007511:Ischemia / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification; D054843:Negative-Pressure Wound Therapy; D012720:Severity of Illness Index; D013530:Surgical Wound Infection / Q000382:microbiology / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects; D014945:Wound Healing