Evaluation of vacuum‐assisted closure in patients with wound complications following tumour surgery

Mermerkaya, Ugur; Bekmez, Şenol; Alkan, Erkan; Ayvaz, Mehmet; Tokgözoğlu, Mazhar

doi:10.1111/iwj.12318

Cited by 11 publications

(10 citation statements)

References 22 publications

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“…15,16 However, there is still a lack of good quality randomized studies free from conflicts of interest that would allow the method to be evaluated more thoroughly. 17 Complications that have been described in relation to vacuum dressings are uncommon and the majority are related to local pain, hypertrophy of granulation tissue, and damage to adjacent blood vessels. 18,19 It should however be stressed that the dressing foam should not be placed in direct contact with blood vessels.…”

Section: Discussionmentioning

confidence: 99%

Uso de curativo a vácuo como terapia adjuvante na cicatrização de sítio cirúrgico infectado

et al. 2017

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Infections at the sites of surgery involving synthetic prostheses are challenging to treat. We present a case of a patient with multiple comorbidities who had undergone an aortobifemoral bypass 6 years previously and then re-intervention at the femoral anastomoses for restenosis 5 years previously. The patient presented with acute left inguinal pain and swelling and was diagnosed with a ruptured femoral pseudoaneurysm and hemodynamic instability. A repair was conducted by interposition of a silver-coated Dacron graft in the emergency room, and a large abdominal incisional hernia was repaired with synthetic mesh during the same intervention. After surgery, the patient remained intubated in intensive care for a long period. Meanwhile, she presented dehiscence of sutures and a left inguinal purulent fistula that was in contact with the vascular prosthesis. Conservative treatment was chosen, with debridement of wounds and vacuum therapy. The patient improved and the wounds healed. This could be an important tool in similar cases.Keywords: treatment; healing; abdominal injury closure techniques; infection; vascular prosthesis. ResumoInfecções de sítios cirúrgicos com envolvimento de próteses sintéticas constituem grande desafio para tratamento. Apresentamos o caso de uma paciente com múltiplas comorbidades, histórico de enxerto aortobifemoral há 6 anos e reabordagem das anastomoses femorais por reestenoses há 5 anos. Apresentou dor inguinal esquerda e abaulamento súbitos com diagnóstico de pseudoaneurisma femoral roto e instabilidade hemodinâmica. Foi submetida a correção emergencial com interposição de prótese de dácron recoberta por prata e correção de grande hérnia incisional abdominal com tela sintética ao mesmo tempo. No pós-operatório, manteve-se por longo período sob terapia intensiva com dificuldade de extubação. Nesse ínterim, apresentou deiscência das suturas e fístula purulenta inguinal esquerda em contato com a prótese vascular. Optou-se pelo tratamento conservador, com desbridamento das feridas e aplicação de curativo a vácuo. A paciente evoluiu com melhora e cicatrização das feridas. Essa pode se constituir em ferramenta importante em casos similares.Palavras-chave: terapêutica; cicatrização; técnicas de fechamento de ferimentos abdominais; infecção; prótese vascular.

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Section: Discussionmentioning

confidence: 99%

Uso de curativo a vácuo como terapia adjuvante na cicatrização de sítio cirúrgico infectado

et al. 2017

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“…The main doubt is the potentially angiogenic effect which can aggravate malignancy or recurrence of the cancer. 8 On the other hand, in last years some cases of using NPWT in the treatment of patients with malignant tumors has been observed. There are two main oncological groups of patients with malignancy and indication for NPWT.…”

Section: Discussionmentioning

confidence: 99%

“…2 There are only few contraindications for the negative pressure wound therapy use (e.g. an active malignant process, 3 however, it is reported that in some cases it has achieved positive effects [4][5][6][7][8][9][10] ).…”

Section: Introductionmentioning

confidence: 99%

Negative pressure wound therapy use in the treatment of patient with an active process of anal cancer in order to the further treatment – case report.

Kicińska

Błażejewska

Banasiewicz

2016

NPWTJ

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Abstract-Anal cancer occurs very rare in our population. Its treatment depends on the advancement of the process. Occasionally, the lesions are removed surgically, but most of advanced lesions are treated by radiotherapy and chemotherapy, also combined with surgical removal. Sometimes the combination therapy is difficult to perform, in cases when there is no possibility to protect the bowels against the direct side effects of radiotherapy due to wide excision. In most complicated and non-healing wounds, negative pressure therapy significantly improves the treatment results. This kind of treatment has also its restrictions: main contraindication is an active malignant process, however, it is reported that in some cases it has achieved positive effects.68 years-old man was admitted to the Proctological Outpatient Office because of perianal genital warts. Histological examination diagnosed them as condylomata acuminata but when the patient reported back to the same Outpatient Office after 2 years, he presented with a giant perianal tumor. Because of severe problems with passing stool, size of the lesions, sphincter infiltration and its full dysfunction, abdominoperineal rectal resection with end colostomy was performed. In the histological examination anal cancer was recognized: stage IIIA: T3N1M0 and further radiotherapy and chemotherapy were indicated. An open, nonhealing wound was a contraindication for radiotherapy. Despite the potential malignancy in the wound, the negative pressure wound therapy (with the continuous pressure -100 mmHg) was introduced. After 20 days of treatment, the wound was closed by granulation. Patient was qualified to the radiation therapy (60 Gy) combined with 5-FU and Mitomycin C, with good results.In our case, applying negative pressure wound therapy resulted in wound closing and allowed to introduce the main way of healing -radiotherapy, suggesting that NPWT can be used as supportive management of neoplastic diseases.

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“…Согласно данным доступной литературы факт применения различных средств и методик, созда-ющих отрицательное давление в ране, не является новшеством, однако использование стандартизи-рованных вакуумов для этих целей началось срав-нительно недавно [8,9]. В систематических обзорах [10,11,12] показана эффективность вакуум-терапии в отношении скорости репарации раневых повер-хностей различной этиологии.…”

Section: результаты и их обсуждениеunclassified

“…Однако масштабные исследования, свободные от конфликтов коммер-ческих интересов, которые бы позволили объектив-но оценить эффективность метода, по-прежнему отсутствуют [8]. В этой связи основной целью дан-ного исследования послужила оценка ранних ре-зультатов вакуум-терапии в комплексном лечении гнойно-некротических ран.…”

Section: Introductionunclassified

Vacuum Therapy in Diabetic Foot Surgery

Нартайлаков¹,

Гараев²,

Dorofeyev³

et al. 2017

Kreat. hir. onkol.

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Evaluation of vacuum‐assisted closure in patients with wound complications following tumour surgery

Cited by 11 publications

References 22 publications

Uso de curativo a vácuo como terapia adjuvante na cicatrização de sítio cirúrgico infectado

Uso de curativo a vácuo como terapia adjuvante na cicatrização de sítio cirúrgico infectado

Negative pressure wound therapy use in the treatment of patient with an active process of anal cancer in order to the further treatment – case report.

Vacuum Therapy in Diabetic Foot Surgery

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