Vacuum-assisted closure in the treatment of seroma after axillary lymph node dissection

被引：2

作者：

Caspara Uth C. ^{[1
]}

Bentzen V.E. ^{[1
]}

Hölmich L.R. ^{[1
]}

机构：

[1] Department of Plastic Surgery, Herlev Hospital, Herlev

来源：

European Journal of Plastic Surgery | 2016年 / 39卷 / 3期

关键词：

Axillary lymph node dissection; Malignant melanoma; Seroma; VAC;

D O I：

10.1007/s00238-015-1153-7

中图分类号：

学科分类号：

摘要：

This paper describes a novel approach to the treatment of otherwise refractory seromas by applying vacuum-assisted closure (VAC) to the seroma cavity. Foam is inserted in the cavity thru an incision in the skin, and the VAC is applied with a continuous suction, which presumably makes the open lymph vessels collapse. When the lymphatic output declines, the size of the sponges and hereby the size of the cavity is reduced successively. We present a 74-year-old man with a malignant melanoma suffering from seroma in the axilla after an axillary lymph node dissection. The lymph production decreased after 2 days resulting in closing of the cavity and cure of the seroma. Level of Evidence: Level V, therapeutic study © 2015, Springer-Verlag Berlin Heidelberg.

引用

页码：217 / 220

页数：3

共 16 条

[1]

Serpell J.W., Carne P.W., Bailey M., Radical lymph node dissection for melanoma, ANZ J Surg, 73, pp. 294-299, (2003)

[2]

Srivastava V., Basu S., Shukla V.K., Seroma formation after breast cancer surgery: what we have learned in the last two decades, J Breast Cancer, 15, pp. 373-380, (2012)

[3]

Ul-Mulk J., Holmich L.R., Lymph node dissection in patients with malignant melanoma is associated with high risk of morbidity, Dan Med J, 59, (2012)

[4]

Anand R., Skinner R., Dennison G., Pain J.A., A prospective randomised trial of two treatments for wound seroma after breast surgery, Eur J Surg Oncol, 28, pp. 620-622, (2002)

[5]

Kuroi K., Shimozuma K., Taguchi T., Imai H., Yamashiro H., Ohsumi S., Saito S., Evidence-based risk factors for seroma formation in breast surgery, Jpn J Clin Oncol, 36, pp. 197-206, (2006)

[6]

Webster J., Scuffham P., Stankiewicz M., Chaboyer W.P., Negative pressure wound therapy for skin grafts and surgical wounds healing by primary intention, Cochrane Database Syst Rev, 10, (2014)

[7]

Lopez-Cano M., Armengol-Carrasco M., Use of vacuum-assisted closure in open incisional hernia repair: a novel approach to prevent seroma formation, Hernia, 17, pp. 129-131, (2013)

[8]

Khater A., Elnahas W., Roshdy S., Farouk O., Senbel A., Fathi A., Hamed E., Abdelkhalek M., Ghazy H., Evaluation of the quilting technique for reduction of postmastectomy seroma: a randomized controlled study, Int J Breast Cancer, 2015, (2015)

[9]

He X.D., Guo Z.H., Tian J.H., Yang K.H., Xie X.D., Whether drainage should be used after surgery for breast cancer? A systematic review of randomized controlled trials, Med Oncol, 28, pp. S22-S30, (2011)

[10]

Thomson D.R., Sadideen H., Furniss D., Wound drainage after axillary dissection for carcinoma of the breast, Cochrane Database Syst Rev, 10, (2013)

← 1 2 →