Abstract:
Introduction: Purulent postoperative complications remain to be a challenge for surgeons even
in the 21st century. Septic-purulent complications rate remains high (from 5.0% to 35% of the number
of operated patients). As a consequence, morbidity records an increase and also the costs incurred by
public medical institution are increased due to the higher number of hospitalization days, an average of
11-14 days. Use of V.A.C. (vacuum assisted closure) asspiration allows to solve problems related to
suppurative postoperative complications and provides the ability to minimize the number of
hospitalization days thanks to its specific properties in relation to the classic management of these
complications.Case report: It is described the clinical case of a patient, 41 years old, with phlegmon of the
anterior abdominal wall, developed after abdominoplasty or "tummy tuck". To remove muscle diastasis
was used polypropylene mesh fixed to aponeurosis of rectus abdominis muscle. The case was solved
using the system for V.A.C. aspiration in intermittent regime with negative pressure 125 mmHg, incomplex with antibacterial treatment, based on the result of microbiological investigation and
determination of cultural sensitivity highlighted toward antibacterial preparations, also with
immunomodulator and detoxifying treatment.
Discussion: This case shows the relevant clinical data for treatment of anterior abdominal wall
phlegmon with cosmetic and minimal economic results.
Conclusions: VAC aspiration system compared to the classical method of suppurative wound
management has a higher number of advantages, among which are the preservation of prosthetic material
used in the surgical procedure in particular cases, reducing the frequency of dressing at 48-36 h, which
is more convenient for patient and lowers treatment costs, the possibility of continuing treatment in
outpatient system etc. Such activity represents an opportunity for surgeons in surgical service of
suppuration.
Description:
Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of Moldova, The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016
