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Journal of Medical Case Reports
Published in: Journal of Medical Case Reports 1/2016

Open Access 01-12-2016 | Case report

Effect of a new incision management system (PREVENA®) on wound healing after endophlebectomy of the common femoral vein: a case series

Authors: A. Gombert, M. E. Barbati, C. Wittens, J. Grommes, H. Jalaie

Published in: Journal of Medical Case Reports | Issue 1/2016

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Abstract

Background

New endovascular techniques facilitate treatment of complex deep vein obstructions in cases of post-thrombotic syndrome. In a relevant number of these patients, endophlebectomy including the implantation of an arteriovenous fistula between the common femoral artery and the femoral vein is indispensable in order to establish a good inflow. These procedures display a high risk of wound complications. Despite conservative efforts to prevent these postoperative complications, wound healing problems occur in more than 20 % of cases. The present case report is the first description of wound dressing using a PREVENA® incision management system in cases of endophlebectomy.

Case presentation

A single center’s experience with the incision management system PREVENA®, which was used after endophlebectomy and venous stenting in complex hybrid procedures in three white men aged 46 years, 53 years, and 61 years is the subject of this case report. Although the surgical procedures were performed under therapeutical anticoagulation and took a couple of hours, no wound complications occurred.

Conclusions

These encouraging results underline a potential benefit of the incision management system PREVENA® in cases of complex venous recanalization including endophlebectomy of the femoral vein as well as the implantation of an arteriovenous fistula.
Literature
1.
Bandyk DF. Vascular surgical site infection: risk factors and preventive measures. Semin Vasc Surg. 2008;21(3):119–23.CrossRefPubMed
2.
Rogers P. Effect of triclosan-coated sutures on incidence of surgical wound infection after lower limb revascularization surgery: a randomized controlled trial. By Turtiainen et al. DOI:10.​1007/​s00268-012-1655-4. World J Surg. 2012;36(10):2535–6
3.
Turtiainen J, Saimanen EI, Makinen KT, et al. Effect of triclosan-coated sutures on the incidence of surgical wound infection after lower limb revascularization surgery: a randomized controlled trial. World J Surg. 2012;36(10):2528–34.CrossRefPubMed
4.
Linni K, Mader N, Aspalter M, et al. Ultrasonic vein mapping prior to infrainguinal autogenous bypass grafting reduces postoperative infections and readmissions. J Vasc Surg. 2012;56(1):126–32. discussion 132–123.CrossRefPubMed
5.
Grauhan O, Navasardyan A, Hofmann M, Muller P, Stein J, Hetzer R. Prevention of poststernotomy wound infections in obese patients by negative pressure wound therapy. J Thorac Cardiovasc Surg. 2013;145(5):1387–92.CrossRefPubMed
6.
Vogel D, Comerota AJ, Al-Jabouri M, Assi ZI. Common femoral endovenectomy with iliocaval endoluminal recanalization improves symptoms and quality of life in patients with postthrombotic iliofemoral obstruction. J Vasc Surg. 2012;55(1):129–35.CrossRefPubMed
7.
Puggioni A, Kistner RL, Eklof B, Lurie F. Surgical disobliteration of postthrombotic deep veins – endophlebectomy – is feasible. J Vasc Surg. 2004;39(5):1048–52. discussion 1052.CrossRefPubMed
8.
Comerota AJ, Grewal NK, Thakur S, Assi Z. Endovenectomy of the common femoral vein and intraoperative iliac vein recanalization for chronic iliofemoral venous occlusion. J Vasc Surg. 2010;52(1):243–7.CrossRefPubMed
9.
Grauhan O, Navasardyan A, Tutkun B, et al. Effect of surgical incision management on wound infections in a poststernotomy patient population. Int Wound J. 2014;11 Suppl 1:6–9.CrossRefPubMed
10.
Wilkes RP, Kilpad DV, Zhao Y, Kazala R, McNulty A. Closed incision management with negative pressure wound therapy (CIM): biomechanics. Surg Innov. 2012;19(1):67–75.CrossRefPubMed
11.
Huang C, Leavitt T, Bayer LR, Orgill DP. Effect of negative pressure wound therapy on wound healing. Curr Probl Surg. 2014;51(7):301–31.CrossRefPubMed
12.
Scalise A, Tartaglione C, Bolletta E, et al. The enhanced healing of a high-risk, clean, sutured surgical incision by prophylactic negative pressure wound therapy as delivered by Prevena Customizable: cosmetic and therapeutic results. Int Wound J. 2015;12(2):218–23.CrossRefPubMed
13.
Kilpadi DV, Lessing C, Derrick K. Healed porcine incisions previously treated with a surgical incision management system: mechanical, histomorphometric, and gene expression properties. Aesthetic Plast Surg. 2014;38(4):767–78.CrossRefPubMed
14.
Kilpadi DV, Cunningham MR. Evaluation of closed incision management with negative pressure wound therapy (CIM): hematoma/seroma and involvement of the lymphatic system. Wound Repair Regen. 2011;19(5):588–96.CrossRefPubMed
15.
Cantero R, Rubio-Perez I, Leon M, et al. Negative-pressure therapy to reduce the risk of wound infection following diverting loop ileostomy reversal: an initial study. Adv Skin Wound Care. 2016;29(3):114–8.CrossRefPubMed
16.
Reddy VS. Use of closed incision management with negative pressure therapy for complex cardiac patients. Cureus. 2016;8(2), e506.PubMedPubMedCentral
17.
de Wolf MA, Arnoldussen CW, Wittens CH. Indications for endophlebectomy and/or arteriovenous fistula after stenting. Phlebology. 2013;28 Suppl 1:123–8.CrossRefPubMed
18.
Prevena. Incision Management System Instruction for use. San Antonio, Texas: KCI; 2013.
Metadata
Title
Effect of a new incision management system (PREVENA®) on wound healing after endophlebectomy of the common femoral vein: a case series
Authors
A. Gombert
M. E. Barbati
C. Wittens
J. Grommes
H. Jalaie
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2016
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-016-0930-7

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