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
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Lardinois</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Division of Thoracic Surgery</addr-line>,<institution>University Hospital Basel</institution>,<addr-line>Basel</addr-line>,<country>Switzerland</country></nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Surgical Case Reports</title><idno type="eISSN">2042-8812</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><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></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><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Surg Case Rep</journal-id><journal-id journal-id-type="iso-abbrev">J Surg Case Rep</journal-id><journal-id journal-id-type="publisher-id">jscr</journal-id><journal-id journal-id-type="hwp">jscr</journal-id><journal-title-group><journal-title>Journal of Surgical Case Reports</journal-title></journal-title-group><issn pub-type="epub">2042-8812</issn><publisher><publisher-name>Oxford University Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26675995</article-id><article-id pub-id-type="pmc">4681184</article-id><article-id pub-id-type="doi">10.1093/jscr/rjv155</article-id><article-id pub-id-type="publisher-id">rjv155</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Reports</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>030</subject></subj-group></article-categories><title-group><article-title>Diffuse lymphatic leakage after continuous vacuum-assisted closure therapy for thoracic wound infection after rib stabilization</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Dackam</surname><given-names>Sandrine</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Furrer</surname><given-names>Katarzyna</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Haug</surname><given-names>Martin</given-names></name><xref ref-type="aff" rid="af2">2</xref></contrib><contrib contrib-type="author"><name><surname>Lardinois</surname><given-names>D.</given-names></name><xref ref-type="aff" rid="af1">1</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><aff id="af1"><label>1</label><addr-line>Division of Thoracic Surgery</addr-line>,<institution>University Hospital Basel</institution>,<addr-line>Basel</addr-line>,<country>Switzerland</country></aff><aff id="af2"><label>2</label><addr-line>Division of Plastic and Hand Surgery,</addr-line><institution>University Hospital Basel</institution>,<addr-line>Basel</addr-line>,<country>Switzerland</country></aff></contrib-group><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></corresp></author-notes><pub-date pub-type="collection"><month>12</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>16</day><month>12</month><year>2015</year></pub-date><volume>2015</volume><issue>12</issue><elocation-id>rjv155</elocation-id><history><date date-type="received"><day>28</day><month>10</month><year>2015</year></date><date date-type="accepted"><day>17</day><month>11</month><year>2015</year></date></history><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><license license-type="creative-commons" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/">http://creativecommons.org/licenses/by-nc/4.0/</ext-link>), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com</license-p></license></permissions><self-uri content-type="pdf" xlink:href="rjv155.pdf"></self-uri><self-uri xlink:role="icon" xlink:href="rjv15501_thumb.gif"></self-uri><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></abstract><counts><page-count count="3"></page-count></counts></article-meta></front></pmc><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. Lardinois</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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