Chinese Trauma Surgeon Association for management guidelines of vacuum sealing drainage application in abdominal surgeries—Update and systematic review

Li, Yang; Li, Peiyuan; Sun, Suwendong; Li, Zhanfei; Liu, Tao; Yang, Fan; Zhang, Lianyang; Bai, Xiangjun; Jingshan, Huo; He, Wubing; Ouyang, Jingping; Peng, Lei; Hu, Ping; Zhu, Yanan; Jin, Peng; Shao, Qi-Feng; Wang, Yanfeng; Dai, Ruiwu; Hu, Pei‐Yang; Chen, Haiming; Wang, Gefei; Wang, Yong-Gao; Jin, Hongxu; Zhu, Cheng; Zhang, Qiyong; B, Shao; Sang, Xiguang; Yin, Changchun

doi:10.1016/j.cjtee.2018.10.005

Cited by 6 publications

(5 citation statements)

References 151 publications

(470 reference statements)

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“…Routine treatment of antibiotic anti-infection and analgesia was performed. The involved hand was treated by aggressive debridement and irrigation (if necessary, increasing VSD) [ 15 ] to achieve a clean and healthy bed. After haemostasis, the Jieya Matrix of corresponding size was meshed at a ratio of 1 : 1–1.1 and placed on the open wound surface with a smooth surface (basement membrane surface) facing up and a rough surface (true skin surface) facing down.…”

Section: Methodsmentioning

confidence: 99%

Use of Composite Acellular Dermal Matrix-Ultrathin Split-Thickness Skin in Hand Hot-Crush Injuries: A One-Step Grafting Procedure

Fan

Pan

Cui

et al. 2022

BioMed Research International

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Background. Hot-crush injuries to the hands can be devastating, and early debridement and coverage with skin autograft remains the golden standard of wound treatment. However, this type of treatment is not feasible or unlikely to succeed due to limited donor sites and wound characteristics of hot-crush injuries on hands. Thus, the composite grafting of acellular dermal matrix (ADM) and split-thickness skin graft (STSG) as a novel alternative method has been attempted. In this series, the results are presented to demonstrate the feasibility and effectiveness of the use of one-stage procedure for early reconstruction in hand hot-crush injuries. Methods. All consecutive patients with hand hot-crush injuries, who underwent one-stage procedure of ADM and ultrathin STSG for soft tissue coverage at our institution from December 2018 to November 2019, were retrospectively analyzed. Wound dressings were opened on 7 days after operation to examine graft survival and complications. Patients were followed up for at least 9 months to evaluate their hand profiles. Results. Samples of 14 patients with a total of 23 wounds were involved in the study. Thirteen of the 23 third–fourth-degree wounds had varying degrees of tendon exposure. On 7 days postoperation, the composite grafts survived in 12 patients with minimal focal graft losses and liquefaction and necrosis in 2 patients, which achieved successful healing following new coverage of ultrathin STSG. All the wounds healed with hospital stays ranging from 9 days to 32 days (median: 24.5 days). At the final follow-up (from 9 months to 20 months), all patients achieved excellent or good total active motion grade and good scar quality (Vancouver scar scale scored 1–3) with no revision surgery. Conclusions. One-stage composite grafting of ADM and ultrathin STSG is a reliable alternative for early reconstruction in hand hot-crush injuries, which delivers good functional outcomes and a good cosmetic appearance.

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Section: Methodsmentioning

confidence: 99%

Use of Composite Acellular Dermal Matrix-Ultrathin Split-Thickness Skin in Hand Hot-Crush Injuries: A One-Step Grafting Procedure

Fan

Pan

Cui

et al. 2022

BioMed Research International

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“…It is well known that bleeding, wound infection, and abscesses are considered general complications following every operation [ 12 ]. Incontinence to gas and stool has emerged as a major concern after sphincterotomy [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Lateral Internal Anal Sphincterotomy of Chronic Anal Fissure: An Experience of 165 Cases

AL-Ubaide¹,

Al-Rubaye²,

Al-Ani³

2022

Cureus

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Background: The anal fissure is frequently seen in surgical practice. It is caused by a longitudinal tear in the anoderm distal to the dentate line. The hallmark feature of the disease is severe pain during defecation. Chronic anal fissure (CAF) causes undue stress that leads to poor quality of life. Different options of treatment, whether medical or surgical, are employed to treat this condition. One of these modalities is lateral internal anal sphincterotomy (LIAS).Objectives: We aimed to assess the safety and efficacy of the LIAS surgical procedure for the treatment of CAF.

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“…In 1954, Redon rst proposed VSD that increased drainage e cacy and wound healing rate [2]. In 1995, Qiu et al applied abdominal VSD for the rst time in China [3]. Later, many studies have shown that VSD is effective in controlling abdominal infection, clearing abscess and shortening healing time [4,5,6].…”

Section: Discussionmentioning

confidence: 99%

Novel Blake drain with negative pressure in pediatric laparoscopic surgeries

Gu¹,

Li²,

Wang³

2021

Preprint

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Background：A drainage tube is generally retained after an abdominal surgery, especially in cases of postoperative bleeding or exudation. In recent years, negative pressure drainage or vacuum sealing drainage (VSD) has been extensively applied. However, the use of VSD in laparoscopic surgery is still challenging and has been rarely reported. Purpose: To introduce a novel Blake drain applied with negative pressure in laparoscopic surgeries. Materials/Methods: Two bar-shaped cuts were made at the end of the drainage tube, with one deeper than the other, and there were no other side holes retained. Thirty patients aged 4-8 years in novel drainage tube (NDT) group received the novel VSD after laparoscopic appendectomy or laparoscopic pyeloplasty, while those in the control traditional drainage tube (TDT) group received traditional drainage using the tube bearing side holes. Results：Tissue plugging and other complications were not observed in patients of NDT group. Significant differences were found in volume of drainage and cases of tissue plugging between NDT and TDT groups (P<0.05). Conclusions: The novel technique is simple, safe and effective for VSD following laparoscopic surgery. It can prevent plugging of soft tissues into the tube and improve drainage effect.

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Chinese Trauma Surgeon Association for management guidelines of vacuum sealing drainage application in abdominal surgeries—Update and systematic review

Cited by 6 publications

References 151 publications

Use of Composite Acellular Dermal Matrix-Ultrathin Split-Thickness Skin in Hand Hot-Crush Injuries: A One-Step Grafting Procedure

Use of Composite Acellular Dermal Matrix-Ultrathin Split-Thickness Skin in Hand Hot-Crush Injuries: A One-Step Grafting Procedure

Lateral Internal Anal Sphincterotomy of Chronic Anal Fissure: An Experience of 165 Cases

Novel Blake drain with negative pressure in pediatric laparoscopic surgeries

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