Vacuum-assisted wound closure versus alginate for the treatment of deep perivascular wound infections in the groin after vascular surgery Christina Monsen,

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Vacuum-assisted wound closure versus alginate for the treatment of deep perivascular wound infections in the groin after vascular surgery Christina Monsen, RN, MSc, Christine Wann-Hansson, RN, PhD, Catharina Wictorsson, RN, Stefan Acosta, MD, PhD Journal of Vascular Surgery Volume 59, Issue 1, Pages 145-151 (January 2014) DOI: 10.1016/j.jvs.2013.06.073 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 1 CONSORT (CONsolidated Standards Of Reporting Trials) diagram. Patients with deep perivascular groin infections after vascular surgery throughout the study period VAC, Vacuum-assisted wound closure. Journal of Vascular Surgery 2014 59, 145-151DOI: (10.1016/j.jvs.2013.06.073) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 2 The two modalities of wound dressing treatment are exemplified in the same patient who had undergone surgical revision of a deep perivascular wound infection in the left groin after vascular surgery. Vacuum-assisted wound closure (VAC) therapy application: The black sponge is placed within the wound cavity. An occlusive self-adhesive film is then placed above the adjacent skin and a second black sponge is placed above the skin-protective film and connected with the first placed sponge. A semipermeable self-adhesive film covers the two sponges. A cut creating a circular hole, approximately 3 cm in diameter, in the occlusive film is made, and the suction device is finally attached and the VAC device activated at 125 mm Hg of continuous negative pressure. Note the location of the suction device between the two sponges and the need of a second sponge bridging to the first sponge to safely be able to place the suction device without risking suction lesions in the skin. Alginate application: The dressings fill the entire wound cavity, and the wound is then covered by an outer absorptive dressing. Journal of Vascular Surgery 2014 59, 145-151DOI: (10.1016/j.jvs.2013.06.073) Copyright © 2014 Society for Vascular Surgery Terms and Conditions