doiSerbia

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

Nenezić Dragoslav (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti 'Dedinje', Beograd)
Panđaitan Simon (Specijalna bolnica za plastičnu i rekonstruktivnu hirurgiju 'ST Medica', Beograd)
Ilijevski Nenad (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti 'Dedinje', Beograd)
Matić Predrag (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti 'Dedinje', Beograd)
Gajin Predrag (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti 'Dedinje', Beograd)
Radak Đorđe (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti 'Dedinje', Beograd)

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.

Keywords: vascular graft infection, Silver-ring prosthesis, treatment, Thiersch skin graft