Application of vacuum dressings as a method of reducing the risk of infection during vascular surgery in patients with skin defects on the foot and lower Leg
A. D. Aslanov,
O. E. Logvina,
L. Yu. Kardanova,
S. A. Dunaev,
M. A. Gotyzhev,
A. G. Kugotov,
A. H. Kugotov,
A. T. Edigov,
L. I. Taukenova,
A. V. Zhirikov,
A. L. Betuganova,
A. Ch. Hashev https://doi.org/10.17238/2072-3180-2022-4-76-82
Abstract
Introduction. In this study, we present a way to reduce the risk of infection of the vascular intervention zone by isolating the wound infection with a vacuum bandage with permanent removal of the exudate into a separate closed circuit.
Materials and methods. In our study, 38 patients underwent open revascularization with critical ischemia. We divided all patients with open interventions into two groups: 18 patients we used VAC systems during surgery (group 1) and 20 patients we operated on with wounds covered with a thick layer ofantiseptic bandages (group 2). Despite the absence of a significant effect on the results of treatment at this stage, we saw a decrease in the frequency of infection of the postoperative wound by 5 times.
Discussion. One of the fundamental clinical manifestations can be noted the rapid appearance of granulation tissue, a decrease in the size of the skin defect, as well as a marked decrease in bacterial contamination of the wound surface.
Results. The method of VAC bandages during vascular operations may be a new way to prevent infection of postoperative wounds in patients with skin defects.
About the Authors
A. D. Aslanov
Kabardino-Balkar State University named after Kh.Berbekova"; Republican Clinical Hospital of the Ministry of Health of the KBR
Russian Federation
Russian Federation
Aslanov Ahmed Dzonovich – Doctor of Medical Sciences, General
surgeon, cardiovascular surgeon, Professor, Head of the Department of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
O. E. Logvina
Kabardino-Balkar State University named after Kh.Berbekova"; Republican Clinical Hospital of the Ministry of Health of the KBR
Russian Federation
Russian Federation
Logvina Oksana Evgenievna – Candidate of Medical Sciences,
surgeon. Associate Professor of the Department of Hospital Surgery
of the Department of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
L. Yu. Kardanova
Kabardino-Balkar State University named after Kh.Berbekova"; Republican Clinical Hospital of the Ministry of Health of the KBR
Russian Federation
Russian Federation
Kardanova Liana Yurievna – surgeon. Assistant of the Department
of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
S. A. Dunaev
Kabardino-Balkar State University named after Kh.Berbekova"; Republican Clinical Hospital of the Ministry of Health of the KBR
Russian Federation
Russian Federation
Dunaev Saykhan Abdurakhmanovich – surgeon. Postgraduate
student of the Department of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
M. A. Gotyzhev
Kabardino-Balkar State University named after Kh.Berbekova"; Republican Clinical Hospital of the Ministry of Health of the KBR
Russian Federation
Russian Federation
Gotyzhev Murat Arsenovich – surgeon, cardiovascular surgeon.
Assistant of the Department of Hospital Surgery of the Faculty of Medicin
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
A. G. Kugotov
Kabardino-Balkar State University named after Kh.Berbekova"; Republican Clinical Hospital of the Ministry of Health of the KBR
Russian Federation
Russian Federation
Kugotov Amirbi Gazizovich – Candidate of Medical Sciences. Associate Professor of the Department of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
A. H. Kugotov
Kabardino-Balkar State University named after Kh.Berbekova"; Republican Clinical Hospital of the Ministry of Health of the KBR
Russian Federation
Russian Federation
Kugotov Ahmed Kharabievich – surgeon, cardiovascular surgeon.
Assistant of the Department of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
A. T. Edigov
Kabardino-Balkar State University named after Kh.Berbekova"; Republican Clinical Hospital of the Ministry of Health of the KBR
Russian Federation
Russian Federation
Edigov Aslanbek Talievich – surgeon, cardiovascular surgeon. Assistant of the Department of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
L. I. Taukenova
Kabardino-Balkar State University named after Kh.Berbekova"; Republican Clinical Hospital of the Ministry of Health of the KBR
Russian Federation
Russian Federation
Taukenova Lisa Ibragimovna – Candidate of Medical Sciences.
Oncologist. Associate Professor of the Department of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
A. V. Zhirikov
Kabardino-Balkar State University named after Kh.Berbekova"; Republican Clinical Hospital of the Ministry of Health of the KBR
Russian Federation
Russian Federation
Zhirikov Artur Vladimirovich – surgeon, endoscopist. Candidate
of Medical Sciences. Associate Professor of the Department of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
A. L. Betuganova
Kabardino-Balkar State University named after Kh.Berbekova"; Republican Clinical Hospital of the Ministry of Health of the KBR
Russian Federation
Russian Federation
Betuganova Alina Latifovna – Assistant of the Department of
Normal and Pathological Anatomy of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
A. Ch. Hashev
Kabardino-Balkar State University named after Kh.Berbekova"; Republican Clinical Hospital of the Ministry of Health of the KBR
Russian Federation
Russian Federation
Hashev Akhed Chamalovich – surgeon. Assistant of the Department of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
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Review
For citations:
Aslanov A.D., Logvina O.E., Kardanova L.Yu., Dunaev S.A., Gotyzhev M.A., Kugotov A.G., Kugotov A.H., Edigov A.T., Taukenova L.I., Zhirikov A.V., Betuganova A.L., Hashev A.Ch. Application of vacuum dressings as a method of reducing the risk of infection during vascular surgery in patients with skin defects on the foot and lower Leg. Moscow Surgical Journal. 2022;(4):76-82. (In Russ.) https://doi.org/10.17238/2072-3180-2022-4-76-82
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