Treatment of the infected wound with exposed Silver-ring Dacron graft and delayed skin transplant covering

Although the incidence of prosthetic infection is low (1%-6%), the consequences (limb loss or death) are dramatic for a patient, with high mortality rate (25%-75%) and limb loss in 40%-75% of cases. In case of Szilagyi's grade III infection, standard procedure consists of the excision of prosth...

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Bibliographic Details
Main Authors: Nenezić Dragoslav, Panđaitan Simon, Ilijevski Nenad, Matić Predrag, Gajin Predrag, Radak Đorđe
Format: Article
Language:English
Published: Serbian Medical Society 2005-01-01
Series:Srpski Arhiv za Celokupno Lekarstvo
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Online Access:http://www.doiserbia.nb.rs/img/doi/0370-8179/2005/0370-81790502069N.pdf
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Summary:Although the incidence of prosthetic infection is low (1%-6%), the consequences (limb loss or death) are dramatic for a patient, with high mortality rate (25%-75%) and limb loss in 40%-75% of cases. In case of Szilagyi's grade III infection, standard procedure consists of the excision of prosthesis and wound debridement. Alternative method is medical treatment. This is a case report of a patient with prosthetic infection of Silver-ring graft, used for femoropopliteal reconstruction, in whom an extreme skin necrosis developed in early postoperative period. This complication was successfully treated medically. After repeated debridement and wound-packing, the wound was covered using Thiersch skin graft.
ISSN:0370-8179