A clinical case of the successful VAC therapy in a patient with surgical wound infection after kidney transplantation

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Abstract

Surgical wound infection is the most common complication after kidney transplantation. It is associated with a prolonged hospital stay, repeated surgical procedures, significant costs, which explains the constant search for optimized treatment for wound infections. We describe a clinical case of a patient with an infected lymphocele of the upper pole of the renal graft at Day 29 after kidney transplantation from a donor after brain death. The infected lymphocele was opened and VAC system was installed without the removal of the graft. With antibiotic therapy and modification of the immunosuppressive therapy, the graft function remained stable and no generalization of the infection occurred. The wound was completely clean at Day 28 of VAC therapy, with subsequent tight closure of the wound. The patient was discharged with a functioning graft.

About the authors

A. V. Shabunin

Russian Medical Academy of Continuous Professional Education; S.P. Botkin Municipal Clinical Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0002-0522-0681

Alexey V. Shabunin – MD, PhD, Professor, Correspondent Member of Russian Academy of Sciences, Head of Chair of Surgery; Chief Physician

2/1–1 Barrikadnaya ul., Moscow, 125993;

5 2-y Botkinskiy proezd, Moscow, 125284

Russian Federation

I. P. Parfenov

Russian Medical Academy of Continuous Professional Education

Email: fake@neicon.ru
ORCID iD: 0000-0003-2441-872X

Igor P. Parfenov – MD, PhD, Professor, Chair of Surgery

2/1–1 Barrikadnaya ul., Moscow, 125993

Russian Federation

O. D. Podkosov

S.P. Botkin Municipal Clinical Hospital

Email: fake@neicon.ru

Oleg D. Podkosov – MD, PhD, Head of Department of Purulent Traumatology

5 2-y Botkinskiy proezd, Moscow, 125284

Russian Federation

P. A. Drozdov

S.P. Botkin Municipal Clinical Hospital

Author for correspondence.
Email: dc.drozdov@gmail.com
ORCID iD: 0000-0001-8016-1610

Pavel A. Drozdov – MD, PhD, Head of Department of Organ and/or Tissue Transplantation

15–8 Brusilova ul., Moscow, 117148

Tel.: +7 (962) 985 04 41

Russian Federation

D. A. Eremin

S.P. Botkin Municipal Clinical Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0001-5381-7127

Dmitry A. Eremin – MD, PhD, Clinical Pharmacologist

5 2-y Botkinskiy proezd, Moscow, 125284

Russian Federation

I. V. Nesterenko

S.P. Botkin Municipal Clinical Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0002-3995-0324

Igor V. Nesterenko – MD, PhD, Surgeon, Department of Organ and/or Tissue Transplantation

5 2-y Botkinskiy proezd, Moscow, 125284

Russian Federation

D. A. Makeev

S.P. Botkin Municipal Clinical Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0001-5237-4387

Dmitry A. Makeev – Surgeon, Department of Organ and/or Tissue Transplantation

5 2-y Botkinskiy proezd, Moscow, 125284

Russian Federation

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Copyright (c) 2020 Shabunin A.V., Parfenov I.P., Podkosov O.D., Drozdov P.A., Eremin D.A., Nesterenko I.V., Makeev D.A.

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