A case study: The use of vacuum-assisted closure with instillation therapy on calf compartment syndrome and fasciotomies

Le résumé fourni par la source

Calf compartment syndrome secondary to ischaemia from a femoral artery aneurysm thrombosis was treated by four compartment decompressions via fasciotomies through lateral and medial incisions in the calf. The advanced muscle damage resulted in secondary infection in all compartments with profuse purulent exudate and required multiple debridements and subsequently significant tissue deficits. Traditional negative pressure in wound management is widely used for a diversity of indications. In this case study, the conventional vacuum-assisted closure (VAC) had failed to manage the thick exudate from the large wounds. Debridement was needed on several occasions and with this alone would have resulted in an above-knee amputation. This case study shows how VAC with instillation therapy (V.A.C. Veraflo) effectively managed wound exudate, assisted debridement and successfully facilitated limb preservation and wound closure. Regular assessment of the wound ensured the efficacy of the system and modifications were regularly needed according to clinical responses. Infection in all compartments of the necrosed muscle resulted in multiple debridements and provided significant wound care challenges and a prolonged hospital stay; however, the outcome was a viable and useful limb.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.