Diffuse lymphatic leakage after continuous vacuum-assisted closure therapy for thoracic wound infection after rib stabilization
Identifieur interne : 001E94 ( Main/Exploration ); précédent : 001E93; suivant : 001E95Diffuse lymphatic leakage after continuous vacuum-assisted closure therapy for thoracic wound infection after rib stabilization
Auteurs : Sandrine Dackam [Suisse] ; Katarzyna Furrer [Suisse] ; Martin Haug [Suisse] ; D. Lardinois [Suisse]Source :
- Journal of Surgical Case Reports [ 2042-8812 ] ; 2015.
Abstract
Vacuum-assisted closure (VAC) therapy is a useful tool in the management of a wide spectrum of complex wounds in cardiothoracic surgery. It promotes healing through the application of a controlled and localized negative pressure on porous polyurethane absorbent foams. Known advantages of the VAC therapy are the acceleration of wound healing, stimulation of granulation tissue and reduced tissue edema. Despite its excellent properties, some related complications after and during the therapy have been reported. We report the case of a 47-year-old female with a thoracic wound infection after rib stabilization, managed with open surgery and VAC therapy, which was complicated by a diffuse lymphatic leakage. This is the first case described of diffuse lymphatic leakage followed by partial necrosis of the breast after continuous VAC therapy. We recommend the application of a lower pressure level of this device for complex wounds of the chest wall near the breast.
Url:
DOI: 10.1093/jscr/rjv155
PubMed: 26675995
PubMed Central: 4681184
Affiliations:
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Known advantages of the VAC therapy are the acceleration of wound healing, stimulation of granulation tissue and reduced tissue edema. Despite its excellent properties, some related complications after and during the therapy have been reported. We report the case of a 47-year-old female with a thoracic wound infection after rib stabilization, managed with open surgery and VAC therapy, which was complicated by a diffuse lymphatic leakage. This is the first case described of diffuse lymphatic leakage followed by partial necrosis of the breast after continuous VAC therapy. We recommend the application of a lower pressure level of this device for complex wounds of the chest wall near the breast.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Morykwas, Mj" uniqKey="Morykwas M">MJ Morykwas</name></author><author><name sortKey="Argenta, Lc" uniqKey="Argenta L">LC Argenta</name></author><author><name sortKey="Shelton Brown, Ei" uniqKey="Shelton Brown E">EI Shelton-Brown</name></author><author><name sortKey="Mcguirt, W" uniqKey="Mcguirt W">W McGuirt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Saadi, A" uniqKey="Saadi A">A Saadi</name></author><author><name sortKey="Perentes, Jy" uniqKey="Perentes J">JY Perentes</name></author><author><name sortKey="Gonzalez, M" uniqKey="Gonzalez M">M Gonzalez</name></author><author><name sortKey="Tempia, Ac" uniqKey="Tempia A">AC Tempia</name></author><author><name sortKey="Wang, Y" uniqKey="Wang Y">Y Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rocco, G" uniqKey="Rocco G">G Rocco</name></author><author><name sortKey="Martucci, N" uniqKey="Martucci N">N Martucci</name></author><author><name sortKey="La Rocca, A" uniqKey="La Rocca A">A La Rocca</name></author><author><name sortKey="La Manna, C" uniqKey="La Manna C">C La Manna</name></author><author><name sortKey="De Luca, G" uniqKey="De Luca G">G De Luca</name></author><author><name sortKey="Fazioli, F" uniqKey="Fazioli F">F Fazioli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Peinemann, F" uniqKey="Peinemann F">F Peinemann</name></author><author><name sortKey="Sauerland, S" uniqKey="Sauerland S">S Sauerland</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Harper, Ar" uniqKey="Harper A">AR Harper</name></author><author><name sortKey="Nguyen, D" uniqKey="Nguyen D">D Nguyen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Heller, Dr" uniqKey="Heller D">DR Heller</name></author><author><name sortKey="Rohde, C" uniqKey="Rohde C">C Rohde</name></author><author><name sortKey="Ananthakrishnan, P" uniqKey="Ananthakrishnan P">P Ananthakrishnan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, J" uniqKey="Lee J">J Lee</name></author><author><name sortKey="Lee, Kj" uniqKey="Lee K">KJ Lee</name></author><author><name sortKey="Sun, Wy" uniqKey="Sun W">WY Sun</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dian, D" uniqKey="Dian D">D Dian</name></author><author><name sortKey="Bodungen, V" uniqKey="Bodungen V">V Bodungen</name></author><author><name sortKey="Himsl, I" uniqKey="Himsl I">I Himsl</name></author><author><name sortKey="Drinovac, V" uniqKey="Drinovac V">V Drinovac</name></author><author><name sortKey="Mylonas, I" uniqKey="Mylonas I">I Mylonas</name></author><author><name sortKey="Sommer, H" uniqKey="Sommer H">H Sommer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Luedders, Dw" uniqKey="Luedders D">DW Luedders</name></author><author><name sortKey="Bohlmann, Mk" uniqKey="Bohlmann M">MK Bohlmann</name></author><author><name sortKey="Hornemann, A" uniqKey="Hornemann A">A Hornemann</name></author><author><name sortKey="Dittmer, C" uniqKey="Dittmer C">C Dittmer</name></author><author><name sortKey="Diedrich, K" uniqKey="Diedrich K">K Diedrich</name></author><author><name sortKey="Thill, M" uniqKey="Thill M">M Thill</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stoeckel, Wt" uniqKey="Stoeckel W">WT Stoeckel</name></author><author><name sortKey="David, L" uniqKey="David L">L David</name></author><author><name sortKey="Levine, Ea" uniqKey="Levine E">EA Levine</name></author><author><name sortKey="Argenta, Ae" uniqKey="Argenta A">AE Argenta</name></author><author><name sortKey="Perrier, Nd" uniqKey="Perrier N">ND Perrier</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Suisse</li></country></list><tree><country name="Suisse"><noRegion><name sortKey="Dackam, Sandrine" sort="Dackam, Sandrine" uniqKey="Dackam S" first="Sandrine" last="Dackam">Sandrine Dackam</name></noRegion><name sortKey="Furrer, Katarzyna" sort="Furrer, Katarzyna" uniqKey="Furrer K" first="Katarzyna" last="Furrer">Katarzyna Furrer</name><name sortKey="Haug, Martin" sort="Haug, Martin" uniqKey="Haug M" first="Martin" last="Haug">Martin Haug</name><name sortKey="Lardinois, D" sort="Lardinois, D" uniqKey="Lardinois D" first="D." last="Lardinois">D. 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