Experience of using vacuum-therapy in thoracic surgery
DOI:
https://doi.org/10.15574/PS.2018.61.55Keywords:
purulent thoracic surgery, vacuum therapy, ultrasonic cavitationAbstract
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.
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