Primary Use of Negative Pressure Dressings in Lower Extremity Distal Bypass Wounds
|Anantha K Ramanathan1* and George Papas2|
|1Surgical Angiology Institute, 28C, 654, Pacific Highway, Kanwal, NSW 2259, Australia|
|2Wyong Hospital, Wyong, NSW 2259, Australia|
|Corresponding Author :||A. Ramanathan
Surgical Angiology Institute, 28C, 654, Pacific Highway
Kanwal, NSW 2259, Australia
E-mail: [email protected]
|Received: September 30, 2015; Accepted: October 23, 2015; Published: October 30, 2015|
|Citation: Ramanathan AK, Papas G (2015) Primary Use of Negative Pressure Dressings in Lower Extremity Distal Bypass Wounds. J Cardiovasc Dis Diagn 3:228. doi:10.4172/2329-9517.1000228|
|Copyright: © 2015 Ramanathan AK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Introduction: Wound complications of leg wounds occur in up to 44% of patients after femoral distal bypass surgery. There are technical difficulties in obtaining primary wound closure especially on the anterior tibial wound,particularly in the setting of critical limb ischaemia and oedema.
Technical summary: Primary use of negative pressure dressings in this situation has not been described.We describe a case report and a technique which will help obtain safe wound closure without compromising graft integrity by tunnelling the graft obliquely under the tibialis anterior muscle and then applying primary PicoTM dressing.
Conclusion: By avoiding tension on fragile oedematous tissue safe wound closure may be obtained.
Consent: Informed patient consent was obtained for the treatment as well as for the publication of the photograph