Negative pressure wound therapy with intermittent instillation of rifampin for the treatment of an infected vascular bypass graft.

MedStar author(s):
Citation: Journal of Vascular Surgery Cases & Innovative Techniques. 5(4):435-437, 2019 Dec.PMID: 31660467Institution: MedStar Washington Hospital CenterDepartment: Surgery/Plastic Surgery | Surgery/Vascular SurgeryForm of publication: Journal ArticleMedline article type(s): Case ReportsSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2019ISSN:
  • 2468-4287
Name of journal: Journal of vascular surgery cases and innovative techniquesAbstract: Negative pressure wound therapy with intermittent instillation, especially with the addition of antibiotics in the case of infection, is a versatile treatment modality for the closure of wounds and can be used both primarily after debridement and secondarily after failure of muscle flap coverage. We present a case in which negative pressure wound therapy with intermittent instillation of rifampin was used to successfully close a groin wound secondary to an infected prosthetic vascular graft that initially failed to close with a muscle flap. Consideration of this approach to wound closure and graft salvage is important because of the seriousness and relatively common incidence of prosthetic vascular graft infection after infrainguinal arterial bypass revascularization. Copyright (c) 2019 The Authors.All authors: Akbari C, Black CK, Evans KK, Fleury CM, Janhofer DE, Lakhiani CFiscal year: FY2020Digital Object Identifier: Date added to catalog: 2019-11-19
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Journal Article MedStar Authors Catalog Article 31660467 Available 31660467

Negative pressure wound therapy with intermittent instillation, especially with the addition of antibiotics in the case of infection, is a versatile treatment modality for the closure of wounds and can be used both primarily after debridement and secondarily after failure of muscle flap coverage. We present a case in which negative pressure wound therapy with intermittent instillation of rifampin was used to successfully close a groin wound secondary to an infected prosthetic vascular graft that initially failed to close with a muscle flap. Consideration of this approach to wound closure and graft salvage is important because of the seriousness and relatively common incidence of prosthetic vascular graft infection after infrainguinal arterial bypass revascularization. Copyright (c) 2019 The Authors.

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