![]() Vacuum assisted closure in the treatment of pleural empyema – first experiences with intra-thoracal application. Vacuum assisted closure therapy for the treatment of sternal wound infections in neonates and small infants. The mechanism of action of the vacuum-assisted closure device.įleck T, Simon P, Burda G, Wolner E, Wollenek G. Scherer S S, Pietramaggiori G, Mathews J C, Prsa M J, Huang S, Orgill D P. Vacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation. Morykwas M J, Argenta L C, Shelton-Brown E I, McGuirt W. Management of empyema after lung resections (pneumonectomy/lobectomy). Sirbu H, Busch T, Aleksic I, Schreiner W, Oster O, Dalichau H.īronchopleural fistula in the surgery of non-small cell lung cancer: incidence, risk factors, and management. Outcomes in octogenarians undergoing high-risk cancer operation: a national study. Postoperative mortality in lung cancer patients. Outcome of 100 necessary exploratory thoracotomies for bronchial cancer. Roeslin N, Pallasse M C, Dumont P, Wihlm J M, Morand G, Witz J P. Pneumonectomy after chemotherapy: morbidity, mortality, and long-term outcome. Thoracic surgery - vacuum wound therapy - septic complications ReferencesĪlifano M, Boudaya M S, Salvi M, Collet J Y, Dinu C, Camilleri-Broët S, Régnard J F. Conclusion: Intrathoracic vacuum therapy after extended thoracic surgery seems to be an effective and safe adjunct to conventional treatment modalities for the therapy of intrathoracic infections or deep wound infections. Duration of hospital stay varied from 16 to 110 days (mean 44 ± 34 days). Hemodynamic or respiratory complications (e.g., air leakage) during VAC system application were not observed in any case. Complete healing without recurrence was achieved in 11/13 (85 %) patients to date. It was used as a bridge to reconstructive surgery with a latissimus dorsi muscle flap in 2 patients (15 %), while surgical wound closure could be achieved in the remaining 11 patients (85 %). Results: After a mean period of 64 ± 45 days (range 7 to 134 days) the VAC system was removed in all patients. The VAC system was removed when systemic signs of infection resolved and quantitative cultures were negative. All patients had an increased risk for impaired wound healing (e.g., diabetes, obesity, empyema, steroids). Methods: Thirteen patients (11 men, 2 women) with a median age of 60 years (range 41 to 82 years) with deep wound infections after thoracotomy (empyema = 3 lobectomy = 5 Pancoast = 1 pneumonectomy = 4) were treated primarily with the VAC system after initial surgical debridement. We report our initial experience of the intrathoracic application of the VAC system after extended thoracic surgery. Objective: The VAC system (vacuum-assisted wound closure) is an established noninvasive active therapy to promote the healing of difficult wounds that fail to heal with conventional treatment after cardiac surgery. Different Paths to the Same End: A Response to the Question: Quo Vadis?īuy Article Permissions and Reprints All articles of this category Abstract.Bernoulli in the Operating Room: From the Perspective of a Cardiac Surgeon.Cardiac Surgery Capacity in Sub-Saharan Africa: Quo Vadis?.Basisstandards einer Fachabteilung für Herzchirurgie.Basis-Anforderungen einer Fachabteilung für Herzchirurgie 2022.German Heart Surgery Report 2021: The Annual Updated Registry of the German Society for Thoracic and Cardiovascular Surgery.Heart Team: Joint Position of the Swiss Society of Cardiology and the Swiss Society of Cardiac Surgery.Evaluation of Strategies in the Management of Infective Aortic Valve Endocarditis at German Cardiac Surgical Departments.48th Annual Meeting German Society for Thoracic, Cardiac, and Vascular Surgery.51st Annual Meeting German Society for Pediatric Cardiology.49th Annual Meeting of the German Society for Thoracic and Cardiovascular Surgery.52nd Annual Meeting of the German Society for Pediatric Cardiology.50th Annual Meeting of the German Society for Thoracic and Cardiovascular Surgery (DGTHG).53rd Annual Meeting of the German Society for Pediatric Cardiology (DGPK). ![]() Status of Cardiac Surgical Intensive Care Medicine in Germany in 2018.The German–Austrian S3 Guideline “Cardiogenic Shock Due to Myocardial Infarction: Diagnosis, Monitoring, and Treatment”.National Survey on Training in Pediatric Cardiology by the “Junges Forum” of the DGPK.
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