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Successful Treatment of Infected Vascular Prosthetic Grafts in the Groin Using Conservative Therapy with Povidone-Iodine Solution

Successful Treatment of Infected Vascular Prosthetic Grafts in the Groin Using Conservative... Four cases of infected vascular prosthetic graft in the groin successfully treated with povidone-iodine solution using a conservative approach are described here. In all patients the same technique was used. After complete debridement, the prosthetic graft in the groin was completely exposed. The wound was cleansed with hydrogen peroxide and then dressed with gauze soaked in 1:10 sterile water–diluted povidone-iodine solution. The dressings were changed twice a day. The patients were supplemented by systemic therapy of an appropriate antibiotic. All patients were observed in the intensive care unit. In all patients this treatment method led to control of infection and healing of the wound. Thus, it was not necessary to remove the prosthetic graft and patients were spared a major surgical intervention. At follow-up, the prosthetic grafts remain patent without any signs of recurrence of infection. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Vascular Surgery Springer Journals

Successful Treatment of Infected Vascular Prosthetic Grafts in the Groin Using Conservative Therapy with Povidone-Iodine Solution

Voboril, Rene; Weberova, Jana
Annals of Vascular Surgery , Volume 18 (3) – Apr 19, 2004
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References (16)

Publisher
Springer Journals
Copyright
Copyright © 2004 by Annals of Vascular Surgery Inc.
Subject
Philosophy
ISSN
0890-5096
eISSN
1615-5947
DOI
10.1007/s10016-004-0024-7
Publisher site
See Article on Publisher Site

Abstract

Four cases of infected vascular prosthetic graft in the groin successfully treated with povidone-iodine solution using a conservative approach are described here. In all patients the same technique was used. After complete debridement, the prosthetic graft in the groin was completely exposed. The wound was cleansed with hydrogen peroxide and then dressed with gauze soaked in 1:10 sterile water–diluted povidone-iodine solution. The dressings were changed twice a day. The patients were supplemented by systemic therapy of an appropriate antibiotic. All patients were observed in the intensive care unit. In all patients this treatment method led to control of infection and healing of the wound. Thus, it was not necessary to remove the prosthetic graft and patients were spared a major surgical intervention. At follow-up, the prosthetic grafts remain patent without any signs of recurrence of infection.

Journal

Annals of Vascular Surgery – Springer Journals

Published: Apr 19, 2004

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