Patient case
Case Study: Flap surgery
The Avance Solo Negative Pressure Wound Therapy System is indicated for patients who would benefit from wound management via the application of negative pressure, particularly as the device may promote wound healing through the removal of exudate, infectious material.
Photographs and case notes kindly supplied by Sanna Kouhia, Vascular Surgeon; Tuula Eskelinen, Wound Care Nurse; Arja Korhonen, Wound Care Nurse, the surgery outpatient clinic / wound outpatient clinic, Kainuu Central Hospital, Kajaani, Finland
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Wound history
31 year old female patient with a current chronic pulmonary disease was admitted for a flap surgery for a Pilonidal Sinus in the sacrum.Initial presentation: Cause of surgery: Pilonidal sinus (prior to surgery, 11 Jan)Treatment regime
A portable negative pressure wound therapy system was applied successfully in the operating room and used until the wound was fully healed. No additional fixation was used. Cleansing with Granudacyn was performed at every dressing change. No additional antibiotics was prescribed during the treatment periodOutcome
The surgery resulted in a flap of 10 cm x 15 cm x 15 cm with a depth 1 cm at with no necrotic tissue. The majority of the flap attached with a small area of sloughy tissue visible. The incision had low amounts of serosanguineous/bloody exudate that was non viscous. No exudate on the two following visits 12 days after surgery 100% of the wound was epithelialized. There was no clinical signs of infection during the treatment period. The surrounding skin appeared continuously healthy throughout. The patient reported no pain before or during the dressing changes.Performance
Despite the difficult area to dress, the dressing was applied with full seal and no alarms were set off during the duration of treatment. Furthermore there were no additional dressing changes between visits.Patient experience
The patient was compliant and perceived the treatment to be easy to handle and carry the device and that it gave a sense of safety after the surgery.Product evaluation
In general the clinician perceived the device overall as very good. Both the size and the conformability of the dressing was specifically noted.
