Use of vacuum systems for early implant-associated infection after decompression and stabilization surgery for lumbar spinal stenosis

Objective. To analyze the results of treatment of patients with implant-associated surgical site infection after decompression and stabili- zation surgery performed for lumbar spinal stenosis. Material and Methods. Results of treatment of 43 patients with early (up to 90 days after the operation)...

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Autores principales:	Vladimir K. Shapovalov, Igor V. Basankin, Asker A. Afaunov, Abram A. Gulzatyan, Karapet K. Takhmazyan, David A. Tayursky, Marina I. Tomina
Formato:	article
Lenguaje:	EN RU
Publicado:	Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" 2021
Materias:	postoperative wound suppuration purulent complications surgical site infections early suppuration vacuum dressing neg- ative pressure therapy vac-dressing Surgery RD1-811
Acceso en línea:	https://doaj.org/article/0b483db6dfa84deaa027dc6e96b12d7c
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spelling	oai:doaj.org-article:0b483db6dfa84deaa027dc6e96b12d7c2021-11-22T08:43:22ZUse of vacuum systems for early implant-associated infection after decompression and stabilization surgery for lumbar spinal stenosis10.14531/ss2021.3.53-601810-89972313-1497https://doaj.org/article/0b483db6dfa84deaa027dc6e96b12d7c2021-09-01T00:00:00Zhttps://www.spinesurgery.ru/jour/article/view/1828/1830https://doaj.org/toc/1810-8997https://doaj.org/toc/2313-1497Objective. To analyze the results of treatment of patients with implant-associated surgical site infection after decompression and stabili- zation surgery performed for lumbar spinal stenosis. Material and Methods. Results of treatment of 43 patients with early (up to 90 days after the operation) suppuration of the surgical wound after decompression and stabilization operations for lumbar spinal stenosis were analyzed. Results. A total of 4033 operations for lumbar spinal stenosis with implantation of stabilization systems were performed from 2015 to 2019. There were 43 (1.06 %) cases of early suppuration of the surgical wound with the installed instrumentation. Out of them seven (16.27 %) cases were superficial and 36 (83.78 %) – deep. In all cases, the wound revision, surgical debridement and installation of a vacuum assisted closure (VAC-dressing) were performed. The treatment of superficial suppuration was accompanied by a single installation of a VAC-dress- ing before wound closure, and in deep suppuration from 2 to 8 (on average 4.10 ± 1.73) VAC-dressings were changed. Wound healing was achieved in all patients within 14–55 (average 29.10 ± 10.06) days. Timely diagnosis of the complication and application of negative pres- sure therapy allowed arresting the inflammatory process and preserving the implants in all patients with a follow-up period of 12 months. Conclusion. In the case of development of early suppuration of the surgical wound, the patient needs an urgent sanitizing operation. Nega- tive pressure treatment with VAC-dressings is an effective and safe way to relieve this complication. This method combined with etiotropic antibiotic therapy makes it possible to quickly cleanse and heal the wound while preserving the implanted instrumentation.Vladimir K. ShapovalovIgor V. BasankinAsker A. AfaunovAbram A. GulzatyanKarapet K. TakhmazyanDavid A. TayurskyMarina I. TominaMinistry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"articlepostoperative wound suppurationpurulent complicationssurgical site infectionsearly suppurationvacuum dressingneg- ative pressure therapyvac-dressingSurgeryRD1-811ENRUХирургия позвоночника, Vol 18, Iss 3, Pp 53-60 (2021)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	postoperative wound suppuration purulent complications surgical site infections early suppuration vacuum dressing neg- ative pressure therapy vac-dressing Surgery RD1-811
spellingShingle	postoperative wound suppuration purulent complications surgical site infections early suppuration vacuum dressing neg- ative pressure therapy vac-dressing Surgery RD1-811 Vladimir K. Shapovalov Igor V. Basankin Asker A. Afaunov Abram A. Gulzatyan Karapet K. Takhmazyan David A. Tayursky Marina I. Tomina Use of vacuum systems for early implant-associated infection after decompression and stabilization surgery for lumbar spinal stenosis
description	Objective. To analyze the results of treatment of patients with implant-associated surgical site infection after decompression and stabili- zation surgery performed for lumbar spinal stenosis. Material and Methods. Results of treatment of 43 patients with early (up to 90 days after the operation) suppuration of the surgical wound after decompression and stabilization operations for lumbar spinal stenosis were analyzed. Results. A total of 4033 operations for lumbar spinal stenosis with implantation of stabilization systems were performed from 2015 to 2019. There were 43 (1.06 %) cases of early suppuration of the surgical wound with the installed instrumentation. Out of them seven (16.27 %) cases were superficial and 36 (83.78 %) – deep. In all cases, the wound revision, surgical debridement and installation of a vacuum assisted closure (VAC-dressing) were performed. The treatment of superficial suppuration was accompanied by a single installation of a VAC-dress- ing before wound closure, and in deep suppuration from 2 to 8 (on average 4.10 ± 1.73) VAC-dressings were changed. Wound healing was achieved in all patients within 14–55 (average 29.10 ± 10.06) days. Timely diagnosis of the complication and application of negative pres- sure therapy allowed arresting the inflammatory process and preserving the implants in all patients with a follow-up period of 12 months. Conclusion. In the case of development of early suppuration of the surgical wound, the patient needs an urgent sanitizing operation. Nega- tive pressure treatment with VAC-dressings is an effective and safe way to relieve this complication. This method combined with etiotropic antibiotic therapy makes it possible to quickly cleanse and heal the wound while preserving the implanted instrumentation.
format	article
author	Vladimir K. Shapovalov Igor V. Basankin Asker A. Afaunov Abram A. Gulzatyan Karapet K. Takhmazyan David A. Tayursky Marina I. Tomina
author_facet	Vladimir K. Shapovalov Igor V. Basankin Asker A. Afaunov Abram A. Gulzatyan Karapet K. Takhmazyan David A. Tayursky Marina I. Tomina
author_sort	Vladimir K. Shapovalov
title	Use of vacuum systems for early implant-associated infection after decompression and stabilization surgery for lumbar spinal stenosis
title_short	Use of vacuum systems for early implant-associated infection after decompression and stabilization surgery for lumbar spinal stenosis
title_full	Use of vacuum systems for early implant-associated infection after decompression and stabilization surgery for lumbar spinal stenosis
title_fullStr	Use of vacuum systems for early implant-associated infection after decompression and stabilization surgery for lumbar spinal stenosis
title_full_unstemmed	Use of vacuum systems for early implant-associated infection after decompression and stabilization surgery for lumbar spinal stenosis
title_sort	use of vacuum systems for early implant-associated infection after decompression and stabilization surgery for lumbar spinal stenosis
publisher	Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
publishDate	2021
url	https://doaj.org/article/0b483db6dfa84deaa027dc6e96b12d7c
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Use of vacuum systems for early implant-associated infection after decompression and stabilization surgery for lumbar spinal stenosis

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