The Combination Application of Space Filling and Closed Irrigation Suction in Reconstruction of Sacral Decubitus Ulcer

Liang, Wei-zhong; Zhao, Zhihe; Wu, Junling; Hong-mei, AI

doi:10.9738/intsurg-d-13-00033.1

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…In the current study, closed suction irrigation of gentamicin was used to control the infection of BS patients by thoroughly cleaning the wound. The irrigation bag is placed about 1.5 meters above the bed surface to apply the siphon principle instead of negative pressure suction, which ensures that the irrigation solution containing antibiotics can remain in the wound for a period of time without being washed away quickly [42]. So as to maximize the use of drugs and saving medical resources.…”

Section: Discussionmentioning

confidence: 99%

Effect of closed suction irrigation on patients with brucellosis spondylitis after one-stage posterior debridement and bone grafting fusion with internal fixation: a randomized controlled trial

Wen

Qiang

et al. 2023

Preprint

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Objective: Currently, the treatment of brucellosis spondylitis (BS) is still a major clinical problem. The purpose of this study is to evaluate the feasibility of closed suction irrigation on patients with BS after one-stage posterior debridement and bone grafting fusion with internal fixation. Methods: This is a single blind randomized clinical controlled trial. A total of 30 patients with BS after one-stage posterior debridement and bone grafting fusion with internal fixation admitted from August 2022 to March 2023 were randomly divided into control group and experimental group according to the ratio of 1:1, with 15 patients in each group. The control group was treated with routine antibiotic therapy after operation, the experimental group was treated with gentamicin closed suction irrigation at the basis of the control group. From the first day after operation, the wound was continuously washed with 80mg gentamicin +3000ml normal saline once a day for 2 weeks. By the third week, stop suction irrigation and continue to receive routine antibiotic treatment. The inflammatory markers [erythrocyte sedimentation rate (ESR), C- reactive protein (CRP)], the visual analogue scale (VAS) and oswestry disability index (ODI) were observed before operation, the 1st day after operation, and 1-week and 2-week after intervention. Multiple interpolation for missing data. Results: Intention-to-treat analysis was used. All were analyzed in their randomized group. The results showed that the inflammatory markers, VAS and ODI in both groups decreased after 1-week of intervention (P<0.001), and the experimental group decreased significantly compared with the control group (P<0.05 or P<0.01). After 2-week of intervention, these significant differences still existed, and a significant difference compared with the 1-week (P<0.001). In addition, after 2-week of intervention, the ESR of patients in the experimental group decreased to a low level before operation (P<0.001), but the control group did not find this change. There were no adverse events were observed during the study. All patients were discharged with bone graft fusion degree of Grade 3. No postoperative complications occurred and the incision healed well. Conclusion: Closed suction irrigation of gentamicin is safe and feasible for patients with BS after one-stage posterior debridement and bone grafting fusion with internal fixation, which can reduce inflammatory markers, relieve pain and improve functional ability.

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Section: Discussionmentioning

confidence: 99%

Effect of closed suction irrigation on patients with brucellosis spondylitis after one-stage posterior debridement and bone grafting fusion with internal fixation: a randomized controlled trial

Wen

Qiang

et al. 2023

Preprint

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“…This idea has been explored in previous series but not for reconstruction of sacral pressure ulcers. 24 , 26 , 27 …”

Section: Discussionmentioning

confidence: 99%

Combined Horizontal Split Gluteus Maximus Muscle and Fasciocutaneous Limberg Flaps for Reconstruction of Recurrent Sacrococcygeal Pilonidal Sinus

Ahmad

Eltayeb

2020

Plastic and Reconstructive Surgery - Global Open

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Background: Pilonidal sinus is a chronic recurrent medical disease. The exact etiology of the disease is still unknown, but the most accepted theory is an acquired condition characterized by infected sinus in the natal cleft area containing a lifeless hair tuft. Multiple techniques were prescribed for its treatment; however, the ideal method is not yet defined. Methods: The study population includes 58 male patients who underwent excision of their recurrent pilonidal sinus, and the resulting defects were reconstructed using combined horizontal split gluteus maximus flaps and rhomboid flaps. Outcomes were revised from patient case files and followed up in our outpatient clinic and via questionnaires. Results: The mean hospital stay was 3 days. The mean time to return to work was 16 days. Partial wound dehiscences occurred in 2 patients. Distal end flap necrosis occurred in 1 patient. There were no flap losses, no recurrences, no infections, no loss of function, and no seromas during a mean follow-up period of 24 months. All patients were satisfied with the results. Conclusions: This technique has an operative time and hospital stays comparable to those of other techniques. It has minimal and acceptable complication rates and no recurrences. We can conclude that this procedure of combined split gluteus maximus muscle flap and rhomboid flap provides an excellent, effective, easy, and feasible method of choice for reconstructing defects of recurrent pilonidal sinus disease.

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An Overview of Sacral Decubitus Ulcer

et al. 2018

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The Combination Application of Space Filling and Closed Irrigation Suction in Reconstruction of Sacral Decubitus Ulcer

Cited by 3 publications

References 16 publications

Effect of closed suction irrigation on patients with brucellosis spondylitis after one-stage posterior debridement and bone grafting fusion with internal fixation: a randomized controlled trial

Effect of closed suction irrigation on patients with brucellosis spondylitis after one-stage posterior debridement and bone grafting fusion with internal fixation: a randomized controlled trial

Combined Horizontal Split Gluteus Maximus Muscle and Fasciocutaneous Limberg Flaps for Reconstruction of Recurrent Sacrococcygeal Pilonidal Sinus

An Overview of Sacral Decubitus Ulcer

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