Vacuum Therapy in Complex Treatment of Purulent-Necrotic Diseases of Soft Tissues: Clinical Cases

• Published in: Kubanskiĭ nauchnyĭ medit︠s︡inskiĭ vestnik Vol. 30; no. 2; pp. 102 - 115
• Main Authors: Fedyushkin, V. V., Baryshev, A. G., Pyatakov, S. N., Gumenyuk, S. E., Alukhanyan, O. A., Bensman, V. M.
• Format: Journal Article
• Language: English
• Published: Ministry of Healthcare of the Russian Federation. “Kuban State Medical University” 17.04.2023
• Subjects: active surgical wound treatment; anaerobic infection; hematoma suppuration; phlegmon; pilonidal cyst; purulent-necrotic diseases of soft tissues; tissue distraction; vacuum dermatension; vacuum therapy
• ISSN: 1608-6228; 2541-9544
• DOI: 10.25207/1608-6228-2023-30-2-102-115

Background. Radical surgeries for phlegmons, abscesses, necrotizing infection are often followed by extensive wounds which require an individual approach to their rapid closure by means of plastic surgery methods. In such a case, the optimal wound therapy is primary healing with the use of vacuum therapy. Cases description. The study involved three clinical trials of patients with acute purulent-necrotic diseases of soft tissues of various localizations, volumes and grades, for which vacuum therapy was used as a part of complex therapy. Surgical interventions are proved to be urgently performed in acute purulent-necrotic diseases. Early reconstructive skin and bone plastic surgery aimed at closing post-operative wound defects is also very important. Conclusion. In the demonstrated clinical cases, the purulent process was stopped and wound therapy was performed by means of primary healing, which undoubtedly ensures medical and social rehabilitation of such patients. Notably, vacuum drainage is not an independent method, but an important component in the complex active surgical treatment of purulent wounds.