Skip to main content
SpringerLink
Log in

Negative-Pressure Wound Therapy for High-Risk Wounds in Lower Extremity Revascularization

  • Chapter
  • First Online:
Pressure Injury, Diabetes and Negative Pressure Wound Therapy

Part of the book series: Recent Clinical Techniques, Results, and Research in Wounds ((RCTRRW,volume 3))

  • 1189 Accesses

Abstract

Lower limb revascularization is one of the most common vascular procedures performed. Regardless of approach a groin cutdown is required and surgical site infections are reported at an above average rate of 20%, significantly higher than the expected 1–4% infection rate of a clean wound (Table 1). Many experimental therapies have been unsuccessful in reducing the high rates of SSI. Negative-pressure wound therapy (NPWT) for primarily closed incisions is a relatively new concept and has garnered attention in orthopedic and cardiac surgery literature. In this chapter we review the current state of evidence for the use of NPWT following lower limb revascularization for prevention of surgical site infection.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References

  1. Olin JW, Sealove BA (2010) Peripheral artery disease: current insight into the disease and its diagnosis and management. Mayo Clin Proc 85:678–692

    Article  Google Scholar 

  2. Boltz MM, Hollenbeak CS, Julian KG, Ortenzi G, Dillon PW (2011) Hospital costs associated with surgical site infections in general and vascular surgery patients. Surgery 150:934–942

    Article  Google Scholar 

  3. Greenblatt DY, Rajamanickam V, Mell MW (2011) Predictors of surgical site infection after open lower extremity revascularization. J Vasc Surg 54:433–439

    Article  Google Scholar 

  4. Lee ES, Santilli SM, Olson MM, Kuskowski MA, Lee JT (2000) Wound infection after infrainguinal bypass operations: multivariate analysis of putative risk factors. Surg Infect 1:257–263

    Article  CAS  Google Scholar 

  5. Culver DH, Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG, Banerjee SN, Edwards JR, Tolson JS, Henderson TS et al (1991) Surgical wound infection rates by wound class, operative procedure, and patient risk index. National Nosocomial Infections Surveillance System. Am J Med 91:152S–157S

    Article  CAS  Google Scholar 

  6. Turtiainen J, Saimanen E, Partio T, Kärkkäinen J, Kiviniemi V, Mäkinen K, Hakala T (2010) Surgical wound infections after vascular surgery: prospective multicenter observational study. Scand J Surg 99:167–172

    Article  CAS  Google Scholar 

  7. Bandyk DF (2008) Vascular surgical site infection: risk factors and preventive measures. Semin Vasc Surg 21:119–123

    Article  Google Scholar 

  8. Stewart AH, Eyers PS, Earnshaw JJ (2007) Prevention of infection in peripheral arterial reconstruction: a systematic review and meta-analysis. J Vasc Surg 46:148–155

    Article  Google Scholar 

  9. Linni K, Mader N, Aspalter M, Butturini E, Ugurluoglu A, Hitzl W, Hölzenbein TJ (2012) Ultrasonic vein mapping prior to infrainguinal autogenous bypass grafting reduces postoperative infections and readmissions. J Vasc Surg 56:126–132

    Article  Google Scholar 

  10. Lawlor DK, Derose G, Harris KA, Lovell MB, Novick TV, Forbes TL (2011) The role of platelet-rich plasma in inguinal wound healing in vascular surgery patients. Vasc Endovasc Surg 45:241–245

    Article  Google Scholar 

  11. Matatov T, Reddy KN, Doucet LD, Zhao CX, Zhang WW (2013) Experience with a new negative pressure incision management system in prevention of groin wound infection in vascular surgery patients. J Vasc Surg 57:791–795

    Article  Google Scholar 

  12. Dorafshar AH, Franczyk M, Gottlieb LJ, Wroblewski KE, Lohman RF (2012) A prospective randomized trial comparing subatmospheric wound therapy with a sealed gauze dressing and the standard vacuum-assisted closure device. Ann Plast Surg 69:79–84

    Article  CAS  Google Scholar 

  13. Webster J, Scuffham P, Sherriff KL, Stankiewicz M, Chaboyer WP (2012) Negative pressure wound therapy for skin grafts and surgical wounds healing by primary intention. Cochrane Database Syst Rev 4:CD009261

    Google Scholar 

  14. Webb LX, Pape H (2008) Current thought regarding the mechanism of action of negative pressure wound therapy with reticulated open cell foam. J Orthop Trauma 22:135–137

    Article  Google Scholar 

  15. Chaput B, Garrido I, Eburdery H, Grolleau JL, Chavoin JP (2015) Low-cost negative-pressure wound therapy using wall vacuum: a 15 dollars by day alternative. Plast Reconstr Surg Glob Open 3:e418

    Article  Google Scholar 

  16. Gill NA, Hameed A, Sajjad Y, Ahmad Z, Rafique Mirza MA (2011) "Homemade" negative pressure wound therapy: treatment of complex wounds under challenging conditions. Wounds 23:84–92

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Schulich School of Medicine and Dentistry, Western University, London Health Science Center, London, ON, Canada

    Patrick B. Murphy M.D., M.Sc., M.P.H.

  2. Associate Professor, Department of Vascular Surgery, Schulich School of Medicine and Dentistry, Western University, LHSC - Victoria Campus, 800 Commissioners Rd E - Room E2-121, London, ON, N6A 5W9, USA

    Adam Power M.D.

Authors
  1. Patrick B. Murphy M.D., M.Sc., M.P.H.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Adam Power M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Patrick B. Murphy M.D., M.Sc., M.P.H. .

Editor information

Editors and Affiliations

  1. Tustin, CA, USA

    Melvin A. Shiffman

  2. Newport Beach, CA, USA

    Mervin Low

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Murphy, P.B., Power, A. (2017). Negative-Pressure Wound Therapy for High-Risk Wounds in Lower Extremity Revascularization. In: Shiffman, M., Low, M. (eds) Pressure Injury, Diabetes and Negative Pressure Wound Therapy. Recent Clinical Techniques, Results, and Research in Wounds, vol 3. Springer, Cham. https://doi.org/10.1007/15695_2017_54

Download citation

  • DOI: https://doi.org/10.1007/15695_2017_54

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-10700-0

  • Online ISBN: 978-3-030-10701-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation