Vacuum sealing drainage technology in management of cavity wound caused by anorectal disease:A preliminary study
PURPOSE: Acute suppurative infection in soft tissues around the anorectal region and the radical excision of presacal tumor often results in cavity wound,which are characterized by large and deep surgical lesion.These cavity wound resulted in common postoperative problems including anal incontinence,delayed healing,long hospital stay,postoperative wound pain during dressing,and tremendous mental distress.Vacuum sealing drainage(VSD)technology is an arisen new approach in recent years to promote wound repair which has been widely used in all sorts of traumatic wound treatment and considered safe and reliable.Therefore,this study is to explore the safety and efficacy of VSD technology in management of cavity wound caused by anorectal disease.METHODS: Patients with cavity wound caused by anorectal disease were identified.If wound types extend below the subdermal layers of the skin and expose underlying structures such as tendons,muscle,and bone,they are referred to as “cavity wounds”.Demographics and clinical data,including predisposing factors,times of VSD used,surgical and postoperative management,were collected and analysed.RESULTS: Twelve eligible patients underwent VSD.Infection in all the case was under controlled.The demographic and clinical characteristics was listed in Table 1.The blood loss in patients was 50 ml(range,10~150ml).The mean postoperative visual analog scale score for pain was 3(range,1~4),2(range,1~4),3(range,2~6),1(range,0~3),and 1(range,0~2)at 12 h,days 1,2,3,and 7.No patients developed anal incontinence.The averaged healing time was 24.2 ± 7.6 days.CONCLUSIONS: The VSD technique seems to be beneficial to faliciate wound healing,relieve the postoperative pain,shorten hostpital stay.It appeared that VSD is a safe and effective technique in management of cavity wound caused by anorectal disease.
VSD Cavity wound Wound healing
Hong-Cheng Lin Hua-Xian,Chen Yu-Jie Xu Juan Li Qian Zhou Dong-Lin Ren
Department of Colorectal Surgery,the Sixth Affiliated Hospital of Sun Yat-sen University(Gastrointestinal & Anal Hospital),Guangzhou,People”s Republic of China
国内会议
第二十次中国中西医结合学会大肠肛门病专业委员会学术会议暨广东省中西医结合学会大肠肛门病专业委员会2017年学术年会
广州
英文
202-204
2017-03-31（万方平台首次上网日期，不代表论文的发表时间）