| Use of vacuum-assisted closure (VAC) therapy in treating lymphatic complications after vascular procedures: new approach for lymphoceles. | |
| | |
MedLine Citation:
|
PMID: 19118737 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: Lymphatic complications, such as lymphocutaneous fistula (LF) and lymphocele, are relatively uncommon after vascular procedures, but their treatment represents a serious challenge. Vacuum assisted closure (VAC) therapy has been reported to be an effective therapeutic option for LF, but the effectiveness of VAC therapy for lymphoceles is unclear. METHODS: For LF, we apply the VAC directly to the skin defect after extending it to achieve a clean wound of at least one inch in length. To treat lymphocele, we convert the lymphocele to a LF in a sterile fashion by making a one inch incision in the overlying skin and applying the VAC. The setting was a community teaching hospital. We used 10 patients that we treated with VAC therapy for LF (n = 4) and lymphoceles (n = 6). RESULTS: Duration of in-patient stay, duration of in-patient VAC treatment, duration of out-patient VAC treatment, total duration of VAC treatment. The median duration of in-patient stay was 4 (range, 0-18) days, the median duration of in-patient VAC treatment was 1 (range, 0-5) days, the median duration of out-patient VAC treatment was 16 (range, 7-28) days), and the median total duration of VAC therapy was 18 (range, 13-29) days. Successful wound healing was achieved in all patients with no recurrence after VAC removal. VAC therapy for treatment of both LFs and lymphoceles resulted in early control of drainage, rapid wound closure, and short hospital stays. CONCLUSION: Our results suggest that VAC therapy is a convenient and effective therapeutic option for both LFs and lymphoceles. |
| | |
Authors:
|
Osama Hamed; Patrick E Muck; J Michael Smith; Kelli Krallman; Nathan M Griffith |
Related Documents
:
|
21670727 - Beneficial influence of postmenopausal estrogen therapy on serum adhesion molecules is ... 20931197 - Wound infection after excision and primary midline closure for pilonidal disease: risk ... 12389657 - Closure of the subcutaneous dead space and wound disruption after cesarean delivery. 3498617 - Antibiotic prophylaxis in open-heart surgery patients: comparison of cefamandole and ce... 21316537 - Long-term visual safety of voriconazole in adult patients with paracoccidioidomycosis. 3971617 - Complications of variable axis total knee arthroplasty. |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter Volume: 48 ISSN: 1097-6809 ISO Abbreviation: J. Vasc. Surg. Publication Date: 2008 Dec |
Date Detail:
|
Created Date: 2009-01-02 Completed Date: 2009-01-22 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 1520-3, 1523.e1-4 Citation Subset: IM |
Affiliation:
|
Department of General/Vascular Surgery, Good Samaritan Hospital, Cincinnati, Ohio 45220, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Female Follow-Up Studies Humans Lymphocele / etiology, therapy* Male Negative-Pressure Wound Therapy / methods* Postoperative Complications Retrospective Studies Treatment Outcome Vascular Surgical Procedures / adverse effects* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Preprocedural neutrophil count predicts outcome in patients with advanced peripheral vascular diseas...
Next Document: Cellular and molecular mechanism regulating blood flow recovery in acute versus gradual femoral arte...