• Experience of using vacuum-therapy in thoracic surgery

Experience of using vacuum-therapy in thoracic surgery

PAEDIATRIC SURGERY.UKRAINE.2018.4(61):55-60; doi 10.15574/PS.2018.61.55

Kosulnikov С. О., Snisar A. V., Tarnopolsky S. O., Bessedin O. M., Karpenko С. І., Kravchenko K. V.
MI «Dnipropetrovsk Regional Clinical Hospital named after І.І. Mechnikov», Dnipro, Ukraine
SI «Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine», Dnipro
MI «Dnipropetrovsk City Multidisciplinary Clinical Hospital No.4» оf Dnepropetrovsk Regional Council, Dnipro, Ukraine

Objective: to analyse the possibilities of using the vacuum therapy (VAC therapy) for purulent lesions of the chest wall and pleural cavity.

Materials and methods. In total 16 patients were treated for purulent thoracic pathology using VAC therapy. Group I included 7 patients with osteomyelitis

of the sternum after sternotomy, Group II comprised 5 patients with purulent lesions of the thoracic cavity, Group III – 4 patients with gunshot penetrating

wounds of the chest after thoracotomy with thoracostomy and pleural empyema.

The effect of VAC therapy and ultrasonic cavitation on the wound process was compared based on the evaluation of microbial contamination degree and

changes in the wound cellular composition: VAC therapy with ultrasonic cavitation was used in 9 patients and VAC therapy alone was used in 7 patients.

Results. It was shown a faster decrease in the microbial contamination level as well as faster development of reparative processes in wound under the influence

of ultrasonic cavitation in combination with VAC therapy (p<0.05) versus using the VAC therapy alone. Total mortality made up 2 (12.5%) cases.

Conclusions. The VAC therapy employment in purulent thoracic surgery is an efficient modern approach to the treatment of this difficult category of patients,

particularly when coupled with ultrasonic cavitation and antibacterial therapy.

Key words: purulent thoracic surgery, vacuum therapy, ultrasonic cavitation.

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Article received: Jun 03, 2018. Accepted for publication: Oct 26, 2018.