Profilactic VAC Therapy after Inguinal Lymph Node Dissection in Malignant Melanoma

被引:0
作者
Tekfiliz, Ismail [1 ]
Cinar, Yusuf Berkay [1 ]
Demir, Can Ilker [2 ]
Yasar, Emrah Kagan [1 ]
Alagoz, Murat Sahin [1 ]
机构
[1] Kocaeli Univ, Dept Plast Reconstruct & Aesthet Surg, Fac Med Plast, Kocaeli, Turkiye
[2] Plast Reconstruct & Aesthet Surg, Istanbul, Turkiye
关键词
Inguinal dissection; seroma; VAC; PROGNOSTIC-FACTORS; PENILE CANCER; SKIN-CANCER; LYMPHADENECTOMY; PRESSURE; PRESERVATION; PREVENTION; MORBIDITY;
D O I
10.4103/tjps.tjps_21_24
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: Inguinal lymph node dissection is frequently used in the diagnosis and treatment of malignant melanomas. However, postdissection, the high rates of complications have become a significant challenge. Seroma, infections, hematomas, and lymphedema are among the primary complications encountered. This study aims to compare the complications rate of vacuum-assisted closure (VAC) versus conventional dressing in patients undergoing inguinal lymph node dissection. Materials and Methods: Fourteen patients who underwent inguinal lymph node dissection due to malignant melanoma between 2019 and 2022 at our clinic were examined in this study. After dissection, VAC dressing applied to the wound site. VAC was operated at 120 mmHg negative pressure for all patients, switched to intermittent mode 24 h later, and changed every 4 days. Daily drain measurements were recorded for all patients. The remaining seven patients were followed up with conventional dressing without VAC. Daily drain measurements were also recorded for this group. Both groups were regularly monitored for seroma, wound site infection, and hematoma. Results: A total of 14 patients who underwent inguinal lymph node dissection due to malignant melanoma were divided into two groups: Conventionally followed (Group 1) and VAC followed (Group 2). The drainage removal time in patients followed with VAC was an average of 14.7 days while it was 8.3 days in the conventionally followed group. Seroma was observed in three patients in Group 1, whereas it was not observed in Group 2. Wound site infection was not encountered in Group 2, whereas it occurred in two patients in Group 1. Conclusion: Our study suggests that the application of VAC after inguinal lymph node dissection reduces complications such as seroma, wound site detachment, and infection. However, it is important to consider the disadvantages, such as the high cost of materials and prolonged drain removal time, when deciding on postdissection VAC application.
引用
收藏
页码:35 / 40
页数:6
相关论文
共 30 条
[1]   Cutaneous Malignant Melanoma: Update on Diagnostic and Prognostic Biomarkers [J].
Abbas, Ossama ;
Miller, Daniel D. ;
Bhawan, Jag .
AMERICAN JOURNAL OF DERMATOPATHOLOGY, 2014, 36 (05) :363-379
[2]   Malignant Melanoma: Skin Cancer-Diagnosis, Prevention, and Treatment [J].
Ahmed, Bilal ;
Qadir, Muhammad Imran ;
Ghafoorb, Saba .
CRITICAL REVIEWS IN EUKARYOTIC GENE EXPRESSION, 2020, 30 (04) :291-297
[3]   Prognostic factors analysis of 17,600 melanoma patients: Validation of the American Joint Committee on Cancer melanoma staging system [J].
Balch, CM ;
Soong, SJ ;
Gershenwald, JE ;
Thompson, JF ;
Reintgen, DS ;
Cascinelli, N ;
Urist, M ;
McMasters, KM ;
Ross, MI ;
Kirkwood, JM ;
Atkins, MB ;
Thompson, JA ;
Coit, DG ;
Byrd, D ;
Desmond, R ;
Zhang, YT ;
Liu, PY ;
Lyman, GH ;
Morabito, A .
JOURNAL OF CLINICAL ONCOLOGY, 2001, 19 (16) :3622-3634
[4]   Histopathologic classification and prognostic factors of melanoma: a 2021 update [J].
Bobos, Mattheos .
ITALIAN JOURNAL OF DERMATOLOGY AND VENEREOLOGY, 2021, 156 (03) :300-321
[5]   The composition of serous fluid after axillary dissection [J].
Bonnema, J ;
Ligtenstein, DA ;
Wiggers, T ;
van Geel, AN .
EUROPEAN JOURNAL OF SURGERY, 1999, 165 (01) :9-13
[6]   Use of negative pressure wound therapy on malignant wounds-a case report and review of literature [J].
Cai, Stephen S. ;
Gowda, Arvind U. ;
Alexander, Richard H. ;
Silverman, Ronald P. ;
Goldberg, Nelson H. ;
Rasko, Yvonne M. .
INTERNATIONAL WOUND JOURNAL, 2017, 14 (04) :661-665
[8]   Sentinel Lymph Node Biopsy and Complete Lymph Node Dissection for Melanoma [J].
Delgado, Alberto Falk ;
Zommorodi, Sayid ;
Delgado, Anna Falk .
CURRENT ONCOLOGY REPORTS, 2019, 21 (06)
[9]  
Elwood J. Mark, 1994, Current Opinion in Oncology, V6, P179, DOI 10.1097/00001622-199403000-00011
[10]   SUNBURN, SUNTAN AND THE RISK OF CUTANEOUS MALIGNANT-MELANOMA - THE WESTERN CANADA MELANOMA STUDY [J].
ELWOOD, JM ;
GALLAGHER, RP ;
DAVISON, J ;
HILL, GB .
BRITISH JOURNAL OF CANCER, 1985, 51 (04) :543-549