PDF(Pubmed)
Abstract：
UNASSIGNED: Vacuum-assisted closure (VAC) dressings are used for many indications nowadays in wound management. However, there are complications with VAC dressings also. In this study, we report a 44-year-old patient with a vertical shear injury with post-operative wound complication of adherent polyurethane sponge over her wound which was removed by piecemeal dissection.
UNASSIGNED: A 44-year-old patient sustained a vertical shear pelvic injury following which spinopelvic fusion surgery was performed. The patient developed wound dehiscence along with discharge on POD 4. Following this, VAC dressing was applied to the wound. After 3 days, the polyurethane sponge became adherent to the wound. The sponge was removed gradually through daily debridement in a piecemeal manner. The wound was found to be healthy and a keystone flap was raised to cover the wound.
UNASSIGNED: Although such complication of an adherent sponge has not been reported to date, one must keep in mind this complication while making improvisations to commercially available VAC dressings.
UNASSIGNED: A 44-year-old patient sustained a vertical shear pelvic injury following which spinopelvic fusion surgery was performed. The patient developed wound dehiscence along with discharge on POD 4. Following this, VAC dressing was applied to the wound. After 3 days, the polyurethane sponge became adherent to the wound. The sponge was removed gradually through daily debridement in a piecemeal manner. The wound was found to be healthy and a keystone flap was raised to cover the wound.
UNASSIGNED: Although such complication of an adherent sponge has not been reported to date, one must keep in mind this complication while making improvisations to commercially available VAC dressings.
摘要：
真空辅助闭合(VAC)敷料目前在伤口处理中用于许多适应症。然而,VAC敷料也有并发症。在这项研究中,我们报告了一名44岁的患者，其垂直剪切损伤，术后伤口并发症是粘附在她的伤口上的聚氨酯海绵，该伤口通过零碎的解剖被去除。
■一名44岁的患者遭受了垂直剪切骨盆损伤，随后进行了骨骨盆融合手术。患者在POD4上出现伤口裂开和放电。在此之后,将VAC敷料应用于伤口。三天后,聚氨酯海绵粘附在伤口上。通过每天以零碎的方式清创逐渐去除海绵。发现伤口是健康的，并抬起梯形皮瓣以覆盖伤口。
■尽管迄今尚未报道这种粘附性海绵的并发症，在对市售的VAC敷料进行即兴创作时，必须记住这种并发症。
■一名44岁的患者遭受了垂直剪切骨盆损伤，随后进行了骨骨盆融合手术。患者在POD4上出现伤口裂开和放电。在此之后,将VAC敷料应用于伤口。三天后,聚氨酯海绵粘附在伤口上。通过每天以零碎的方式清创逐渐去除海绵。发现伤口是健康的，并抬起梯形皮瓣以覆盖伤口。
■尽管迄今尚未报道这种粘附性海绵的并发症，在对市售的VAC敷料进行即兴创作时，必须记住这种并发症。
