Recently, the Department of Orthopaedic Hospital of Handan City has treated a number of patients with large wound infections, including a 65-year-old male who was paralyzed by cerebral hemorrhage three years ago, and long-term bed rest caused the elderly to have blood circulation in their buttocks blocked, skin and muscle tissue necrosis, and the formation of pressure sores. At the beginning, the pressure sores were only as big as buttons, and the old man and his family did not care, but the wounds slowly became larger and larger, and eventually festered and exposed, and the old man's buttocks were in excruciating pain and emitted a foul odor. Family members continue to seek medical treatment, it is difficult to cure, patients are in pain, almost have to give up treatment.
The patient went to our hospital for treatment and was diagnosed with "pressure ulcer stage IV", the patient's wound rupture, necrosis, pus, soft tissue blackening with foul odor, visible bones. Department Director Li Maoheng organized the treatment team and attending physician Li VIP to formulate an surgical plan for the patient's condition, using local debridement + VSD negative pressure suction technology.
The first step is to clean up the necrotic tissue and keep the wound clean and odorless; the second step is to continuously attract the negative pressure in all directions through VSD technology, remove exudates and necrotic tissues in the tissues, reduce the swelling of soft tissues, and promote the growth of granulation tissue. The third step is to use VSD to create a condition of isolation from the outside world, continue to attract under negative pressure, and reduce cross-infection due to repeated dressing changes. Anti-infective therapy is given to patients and nutritional support continues. The fourth step, continuous negative pressure drainage, shrinks the wound, promotes local blood circulation, greatly shortens the time for skin to heal, and reduces the probability of skin necrosis. Finally, as the wound shrinks and fresh granulation tissue grows, the wound is sutured. This is followed by a short change of dressing until the wound heals, and the patient is very satisfied with the treatment effect.
Most of the patients with traumatic infections admitted to the department are suffering from a variety of chronic diseases (such as diabetes, paralysis, long-term bed rest) induced by pressure sores, pressure sores; as well as wounds and ulcers caused by vascular diseases; or wounds formed after trauma and surgical operations do not heal for a long time, which seriously endangers their physical and mental health, reduces the quality of life, and even endangers life.
Through years of practical clinical experience, the surgical department of our hospital has formed a medical treatment team specifically for large wound infections, and through years of practical clinical experience, it has summarized a set of effective treatment methods specifically for pressure ulcers, diabetic foot ulcers, vascular ulcers, and postoperative wounds that are difficult to heal. Through technologies such as VSD negative pressure technology treatment and wound dressing care, the wound healing rate can be greatly improved, the recurrence rate can be reduced, and more patients can sit up, stand up, walk up, return to the family, return to society, and let patients have a dignified and quality life. Phone: 2119165 2119167
Source: Jizhong Energy Fengfeng Group General Hospital Handan Branch