Diffuse lymphatic leakage after continuous vacuum-assisted closure therapy for thoracic wound infection after rib stabilization
Identifieur interne : 001340 ( Pmc/Checkpoint ); précédent : 001339; suivant : 001341Diffuse 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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<author-notes><corresp id="cor1"><label>*</label>
Correspondence address. Department of Thoracic Surgery, University Hospital Basel, Spitalstrasse 21, Basel CH-4031, Switzerland. Tel: +41-61-265-2525; Fax: +4161-265-7238; E-mail: <email>didier.lardinois@usb.ch</email>
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<permissions><copyright-statement>Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2015.</copyright-statement>
<copyright-year>2015</copyright-year>
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<abstract><p>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.</p>
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