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. 2017:32:62-65.
doi: 10.1016/j.ijscr.2017.02.010. Epub 2017 Feb 13.

VAC therapy with long term continuous saline infusion for secondary septic peritonitis: A new strategy for the reduction of perioperative risks?

Fulvio Nisi  1 , Federico Marturano  2 , Eleonora Natali  3 , Antonio Galzerano  4 , Patrizia Ricci  5 , Vito Aldo Peduto  6
Affiliations

VAC therapy with long term continuous saline infusion for secondary septic peritonitis: A new strategy for the reduction of perioperative risks?

Fulvio Nisi et al. Int J Surg Case Rep. 2017.

Abstract

Background: The management of a septic peritonitis open abdomen is a serious problem for clinicians. Open surgery is associated with several complications such as bleeding and perforation of the bowel.

Case presentation: The authors report a case of a 59-years-old female who underwent a sigmoid resection with an latero-terminal (L-T) anastomosis for the perforation of a diverticulum. After a few days the patients developed a new widespread peritonitis. At the emergency re-laparotomy, surgeons found dehiscence of the posterior wall of the anastomosis with fecal contamination. At admission in ICU (Intensive Care Unit) the patient had open abdomen with dehiscence of cutaneous and subcutaneous layers.

Conclusion: Conservative therapy with antibiotic therapy and use of the Vacuum-Assisted Closure® (VAC) Therapy with a long term continuous saline infusion led to the resolution of the septic shock and to the wound healing.

Keywords: Negative pressure therapy; Open abdomen; Septic peritonitis; VAC therapy.

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Figures

Fig. 1
Fig. 1
Open abdomen after abdominal tissue dehiscence.
Fig. 2
Fig. 2
Free air in peritoneal cavity.
Fig. 3
Fig. 3
Multiple abscesses in pelvic cavity.
Fig. 4
Fig. 4
Abdomen after the first days of the VAC ® Therapy.
Fig. 5
Fig. 5
V.A.C.® GranuFoam™ Dressings.
Fig. 6
Fig. 6
Resolution.
See this image and copyright information in PMC

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