Negative Pressure Wound Therapy (NPWT) in Groin Wounds After Lymphadenectomy in Vulvar Cancer Patients

被引：4
作者：
Asciutto, Katrin Christine [1 ]
Acosta, Stefan [2 ,3 ]
Borgfeldt, Christer [1 ]
机构：
[1] Lund Unviv, Dept Obstet & Gynecol, Skane Univ Hosp, Lund, Sweden
[2] Lund Univ, Dept Clin Sci, Malmo, Sweden
[3] Skane Univ Hosp, Vasc Ctr, Malmo, Sweden
来源：
IN VIVO | 2020年 / 34卷 / 06期
关键词：
NPWT; lymphadenectomy groin; vulvar cancer; INGUINOFEMORAL LYMPHADENECTOMY; COMPLICATIONS; SURGERY; WOMEN; METAANALYSIS; VULVECTOMY; PREVENTION; MANAGEMENT; MORBIDITY; CARCINOMA;
D O I：
10.21873/invivo.12192
中图分类号：
R-3 [医学研究方法]; R3 [基础医学];
学科分类号：
1001 ;
摘要：
Background/Aim: Vulva cancer surgery is associated with a high level of morbidity mostly due to wound healing disorders in the inguinal region following lymphadenectomy. Our aim is to evaluate the feasibility of negative pressure wound therapy (NPWT) using the PICOT device in groin wounds after lymphadenectomy. Patients and Methods: The groins of twenty patients who underwent bilateral lymph node dissection were dressed with the PICOT device. All patients were followed prospectively with clinical controls up to three months postoperatively using a standardized study protocol. Results: A total of 11 patients (55%) developed a surgical site complication (SSC). One patient suffered from a wound rupture two days after surgery, six a lymphocele and four a surgical site infection. Operation time, blood loss, number of lymph nodes removed, length of hospital-stay and duration of PICOT treatment did not differ between women with and without SSCs. Conclusion: NPWT using the PICOT device seems to be a feasible method to reduce the severity of healing disorders in the groin after lymphadenectomy in vulva cancer patients.
引用
收藏
页码：3511 / 3517
页数：7
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