Using Vacuum- Assisted Closure Technique For Wound Failure After Cytoreductive Surgery: A Case Report
Abstract
Wound failures in healing brings negative results such as high cost and along duration of treatment. The vacuum -assisted closure technique VAK is a technique that keeps the wound environment under sterile condition and decreases the frequency of changing protective covers of wound. By creating mechanical stress with negative pressure of the vacuum system; wound edges diminish, granulation formation accelerates, cellular proliferation and neoangiogenesis increases. There are only a limited number of case series and case reports are available on the use of VAK in obstetrics/gynecology practices. In this report, we presented superficial wound separation treated with VAK in an obese patient having a cytoreductive surgery for clear cell ovarian carcinoma.
References
- Schimp VL, Worley C, Brunello S, Levenback CC, Wolf JK, Sun CC, Bodurka DC, Ramirez PT. Vacuum-assisted closure in the treatment of gynecologic oncology wound failures. Gynecol Oncol 2004;92:586-91.
- Morrow PC. Incisions and wound healing. In: Morrow PC, Curtin JP, editors. Gynecologic cancer surgery. New York: Churchill Livingstone; 1996: 141–179.
- Hafeez K, Rashid H, Kaim Khani GM, Kumar D, Kumar S. Vacuum As- sisted Closure- utilization as home based therapy in the management of complex diabetic extremity wounds. Pak J Med Sci 2015;31:95-9.
- Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W. Vacuum- as- sisted closure: a new method for wound control and treatment: animal studies and basic foundation. Ann Plast Surg 1997;38: 554– 62.
- Fraccalvieri M, Fierro MT, Salomone M, Fava P, Zingarelli EM, Cavaliere G, Bernengo MG, Bruschi S. Gauze-based negative pressure wound the- rapy: a valid method to manage pyoderma gangrenosum. Int Wound J 2014;11:164-8.
- Demir A, Demirtaş Y, Çiftçi M, Öztürk N, Karacalar A. Topikal Negatif Basınç (Vakum Yardımlı Kapama[VAC]) Uygulamalarımız. Türk Plast Re- constr Est Cer Derg 2006;14: 171-7.
- Aydın S, Aydın ÇA, Uğurlucan FG, Yaşa C, Dural Ö. Recurrent pyoder- ma gangrenosum after cesarean delivery successfully treated with Va- cuum-assisted closure and split thickness skin graft: a case report. J Obstet Gynaecol Res 2015;41:635-9.
- Narducci F, Samouelian V, Marchaudon V, Koenig P, Fournier C, Phalip- pou J, Leblanc E. Vacuum-assisted closure therapy in the management of patients under going vulvectomy. Eur J Obstet Gynecol Reprod Biol 2012;161:199–201
- Argenta PA, Rahaman J, Gretz HF 3rd, Nezhat F, Cohen CJ.Vacuum-as- sisted closure in the treatment of complex gynecologic wound failures. Obstet Gynecol 2002;99:497-501.
- Schoemann MB, Lentz CW. Treating surgical wound dehiscence with ne- gative pressure dressings. Ostomy Wound Manage 2005;51:15-20.
- Altman AD, Nelson G, Nation J, Chu P, Ghatage P.Vacuum assisted wound closures in gynaecologic surgery. J Obstet Gynaecol Can 2011 ;33:1031-7.
- Stanirowski PJ, Wnuk A, Cendrowski K, Sawicki W. Growth factors, sil- ver dressings and negative pressure wound therapy in the management of hard-to-heal postoperative wounds in obstetrics and gynecology: a review. Arch Gynecol Obstet 201;292:757-75.
- Argenta LC, Morykwas MJ, Marks MW, DeFranzo AJ, Molnar JA, David LR. Vacuum assisted closure: state of clinic art. Plast Reconstr Surg 2006;117:127–42.
- Nakayama M. Variations of negative pressure wound therapy. J Surg Tech Case Rep. 2011;3:12.
- Kinetic Concepts, Inc. The V.A.C. Therapy Clinical Guidelines-A Referen- ce Source for Clinicians, San Antonio, Tex: Kinetic Concepts, Inc; 2003.
- Labler L, Rancan M, Mica L, Härter L, Mihic-Probst D, Keel M. Vacu- um-assisted closure therapy increases local interleukin-8 and vas- cular endothelial growth factor levels in traumatic wounds. J Trauma 2009;66:749-57.
- Mark KS, Alger L, Terplan M. Incisional negative pressure therapy to pre- vent wound complications following cesarean section in morbidly obese women: a pilot study. Surg Innov. 2014 ;21:345-9.
- Webster J, Scuffham P, Stankiewicz M, Chaboyer WP. Negative pressure wound therapy for skin grafts and surgical wounds healing by primary intention. Cochrane Database Syst Rev. 2014 :7;10.
Sitoredüktif Cerrahi Sonrası Başarısız Yara Yeri İyileşmesinde Vakum Asiste Kapatma Tekniği Kullanımı: Bir Olgu Sunumu
Abstract
Yara yeri iyileşmesindeki başarısızlıklar yüksek maliyet ve uzun tedavi süresi gibi olumsuz sonuçları beraberinde getirmektedir. Vakum asiste kapatma tekniği VAK yara ortamını steril tutan ve yarayı koruyucu örtülerin sık değişmesini engelleyen bir tekniktir. Vakum sistemi negatif basınç ile mekanik gerilim oluşturarak; yara kenarlarını küçültür, granülasyon formasyonunu hızlandırır, hücresel proliferasyonu ve neoanjiogenezi arttırır. Jinekoloji ve obstetri pratiğinde VAK kullanımı ile ilgili sınırlı sayıda olgu serileri ve vaka sunumları mevcuttur. Bu raporda berrak hücreli ovaryen karsinom nedeniyle sitoredüktif cerrahi yapılan obes bir hastada insizyon yerinin yüzeyel ayrılmasının VAK ile tedavisi sunulmuştur.
References
- Schimp VL, Worley C, Brunello S, Levenback CC, Wolf JK, Sun CC, Bodurka DC, Ramirez PT. Vacuum-assisted closure in the treatment of gynecologic oncology wound failures. Gynecol Oncol 2004;92:586-91.
- Morrow PC. Incisions and wound healing. In: Morrow PC, Curtin JP, editors. Gynecologic cancer surgery. New York: Churchill Livingstone; 1996: 141–179.
- Hafeez K, Rashid H, Kaim Khani GM, Kumar D, Kumar S. Vacuum As- sisted Closure- utilization as home based therapy in the management of complex diabetic extremity wounds. Pak J Med Sci 2015;31:95-9.
- Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W. Vacuum- as- sisted closure: a new method for wound control and treatment: animal studies and basic foundation. Ann Plast Surg 1997;38: 554– 62.
- Fraccalvieri M, Fierro MT, Salomone M, Fava P, Zingarelli EM, Cavaliere G, Bernengo MG, Bruschi S. Gauze-based negative pressure wound the- rapy: a valid method to manage pyoderma gangrenosum. Int Wound J 2014;11:164-8.
- Demir A, Demirtaş Y, Çiftçi M, Öztürk N, Karacalar A. Topikal Negatif Basınç (Vakum Yardımlı Kapama[VAC]) Uygulamalarımız. Türk Plast Re- constr Est Cer Derg 2006;14: 171-7.
- Aydın S, Aydın ÇA, Uğurlucan FG, Yaşa C, Dural Ö. Recurrent pyoder- ma gangrenosum after cesarean delivery successfully treated with Va- cuum-assisted closure and split thickness skin graft: a case report. J Obstet Gynaecol Res 2015;41:635-9.
- Narducci F, Samouelian V, Marchaudon V, Koenig P, Fournier C, Phalip- pou J, Leblanc E. Vacuum-assisted closure therapy in the management of patients under going vulvectomy. Eur J Obstet Gynecol Reprod Biol 2012;161:199–201
- Argenta PA, Rahaman J, Gretz HF 3rd, Nezhat F, Cohen CJ.Vacuum-as- sisted closure in the treatment of complex gynecologic wound failures. Obstet Gynecol 2002;99:497-501.
- Schoemann MB, Lentz CW. Treating surgical wound dehiscence with ne- gative pressure dressings. Ostomy Wound Manage 2005;51:15-20.
- Altman AD, Nelson G, Nation J, Chu P, Ghatage P.Vacuum assisted wound closures in gynaecologic surgery. J Obstet Gynaecol Can 2011 ;33:1031-7.
- Stanirowski PJ, Wnuk A, Cendrowski K, Sawicki W. Growth factors, sil- ver dressings and negative pressure wound therapy in the management of hard-to-heal postoperative wounds in obstetrics and gynecology: a review. Arch Gynecol Obstet 201;292:757-75.
- Argenta LC, Morykwas MJ, Marks MW, DeFranzo AJ, Molnar JA, David LR. Vacuum assisted closure: state of clinic art. Plast Reconstr Surg 2006;117:127–42.
- Nakayama M. Variations of negative pressure wound therapy. J Surg Tech Case Rep. 2011;3:12.
- Kinetic Concepts, Inc. The V.A.C. Therapy Clinical Guidelines-A Referen- ce Source for Clinicians, San Antonio, Tex: Kinetic Concepts, Inc; 2003.
- Labler L, Rancan M, Mica L, Härter L, Mihic-Probst D, Keel M. Vacu- um-assisted closure therapy increases local interleukin-8 and vas- cular endothelial growth factor levels in traumatic wounds. J Trauma 2009;66:749-57.
- Mark KS, Alger L, Terplan M. Incisional negative pressure therapy to pre- vent wound complications following cesarean section in morbidly obese women: a pilot study. Surg Innov. 2014 ;21:345-9.
- Webster J, Scuffham P, Stankiewicz M, Chaboyer WP. Negative pressure wound therapy for skin grafts and surgical wounds healing by primary intention. Cochrane Database Syst Rev. 2014 :7;10.
There are 18 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | June 1, 2016 |
| Published in Issue | Year 2016 Özel Sayı |