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[V.A.C. (Vacuum Assisted Closure) therapy as a treatment option in complications following lymphadenectomy in patients with penile cancer].

Identifieur interne : 003A35 ( PubMed/Corpus ); précédent : 003A34; suivant : 003A36

[V.A.C. (Vacuum Assisted Closure) therapy as a treatment option in complications following lymphadenectomy in patients with penile cancer].

Auteurs : O. Rau ; F. Reiher ; J. Tautenhahn ; E-P Allhoff

Source :

RBID : pubmed:16575669

English descriptors

Abstract

Penile cancer is a rare tumor entity. Primary therapy consists of tumor excision (laser therapy, circumcision, partial or complete penectomy). Therapy of advanced or metastasized penile cancer is still challenging due to high morbidity with postoperative lymph edema, fistula, wound infection and resulting secondary wound healing.

DOI: 10.1055/s-2006-921486
PubMed: 16575669

Links to Exploration step

pubmed:16575669

Le document en format XML

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<title xml:lang="en">[V.A.C. (Vacuum Assisted Closure) therapy as a treatment option in complications following lymphadenectomy in patients with penile cancer].</title>
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<name sortKey="Rau, O" sort="Rau, O" uniqKey="Rau O" first="O" last="Rau">O. Rau</name>
<affiliation>
<nlm:affiliation>Urologische Universitätsklinik, Universitätsklinikum Magdeburg A. ö. R., Deutschland. olrik.rau@medizin.uni-magdeburg.de</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Reiher, F" sort="Reiher, F" uniqKey="Reiher F" first="F" last="Reiher">F. Reiher</name>
</author>
<author>
<name sortKey="Tautenhahn, J" sort="Tautenhahn, J" uniqKey="Tautenhahn J" first="J" last="Tautenhahn">J. Tautenhahn</name>
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<author>
<name sortKey="Allhoff, E P" sort="Allhoff, E P" uniqKey="Allhoff E" first="E-P" last="Allhoff">E-P Allhoff</name>
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<idno type="doi">10.1055/s-2006-921486</idno>
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<title xml:lang="en">[V.A.C. (Vacuum Assisted Closure) therapy as a treatment option in complications following lymphadenectomy in patients with penile cancer].</title>
<author>
<name sortKey="Rau, O" sort="Rau, O" uniqKey="Rau O" first="O" last="Rau">O. Rau</name>
<affiliation>
<nlm:affiliation>Urologische Universitätsklinik, Universitätsklinikum Magdeburg A. ö. R., Deutschland. olrik.rau@medizin.uni-magdeburg.de</nlm:affiliation>
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<name sortKey="Reiher, F" sort="Reiher, F" uniqKey="Reiher F" first="F" last="Reiher">F. Reiher</name>
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<author>
<name sortKey="Tautenhahn, J" sort="Tautenhahn, J" uniqKey="Tautenhahn J" first="J" last="Tautenhahn">J. Tautenhahn</name>
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<author>
<name sortKey="Allhoff, E P" sort="Allhoff, E P" uniqKey="Allhoff E" first="E-P" last="Allhoff">E-P Allhoff</name>
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<series>
<title level="j">Zentralblatt fur Chirurgie</title>
<idno type="ISSN">0044-409X</idno>
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<date when="2006" type="published">2006</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Debridement</term>
<term>Fistula (surgery)</term>
<term>Humans</term>
<term>Length of Stay</term>
<term>Lymph Node Excision</term>
<term>Lymphatic Diseases (surgery)</term>
<term>Lymphatic Metastasis (pathology)</term>
<term>Lymphedema (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neoplasm Invasiveness</term>
<term>Neoplasm Staging</term>
<term>Occlusive Dressings</term>
<term>Penile Neoplasms (pathology)</term>
<term>Penile Neoplasms (surgery)</term>
<term>Postoperative Care</term>
<term>Postoperative Complications (surgery)</term>
<term>Reoperation</term>
<term>Surgical Wound Infection (surgery)</term>
<term>Treatment Outcome</term>
<term>Vacuum</term>
<term>Wound Healing (physiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Lymphatic Metastasis</term>
<term>Penile Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Wound Healing</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Fistula</term>
<term>Lymphatic Diseases</term>
<term>Lymphedema</term>
<term>Penile Neoplasms</term>
<term>Postoperative Complications</term>
<term>Surgical Wound Infection</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Debridement</term>
<term>Humans</term>
<term>Length of Stay</term>
<term>Lymph Node Excision</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neoplasm Invasiveness</term>
<term>Neoplasm Staging</term>
<term>Occlusive Dressings</term>
<term>Postoperative Care</term>
<term>Reoperation</term>
<term>Treatment Outcome</term>
<term>Vacuum</term>
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<front>
<div type="abstract" xml:lang="en">Penile cancer is a rare tumor entity. Primary therapy consists of tumor excision (laser therapy, circumcision, partial or complete penectomy). Therapy of advanced or metastasized penile cancer is still challenging due to high morbidity with postoperative lymph edema, fistula, wound infection and resulting secondary wound healing.</div>
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<PMID Version="1">16575669</PMID>
<DateCreated>
<Year>2006</Year>
<Month>03</Month>
<Day>31</Day>
</DateCreated>
<DateCompleted>
<Year>2006</Year>
<Month>07</Month>
<Day>19</Day>
</DateCompleted>
<DateRevised>
<Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0044-409X</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>131 Suppl 1</Volume>
<PubDate>
<Year>2006</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>Zentralblatt fur Chirurgie</Title>
<ISOAbbreviation>Zentralbl Chir</ISOAbbreviation>
</Journal>
<ArticleTitle>[V.A.C. (Vacuum Assisted Closure) therapy as a treatment option in complications following lymphadenectomy in patients with penile cancer].</ArticleTitle>
<Pagination>
<MedlinePgn>S153-6</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Penile cancer is a rare tumor entity. Primary therapy consists of tumor excision (laser therapy, circumcision, partial or complete penectomy). Therapy of advanced or metastasized penile cancer is still challenging due to high morbidity with postoperative lymph edema, fistula, wound infection and resulting secondary wound healing.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">In this series we retrospectively investigated clinical and diagnostic data from 28 patients (1995-2005) with penile cancer regarding their follow-up, especially in respect to morbidity after lymphadenectomy and the resulting therapy. We evaluated the efficacy of V.A.C. therapy as an alternative in this setting regarding costs and duration of hospital stay.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">11/28 pats. underwent lymphadenectomy (LA) because of tumor stage or suspicious lymph node status. Eight of those pats. developed complications, as there were: lymph edema, and/or secondary wound healing with fistula. 4/8 pats. were treated with V.A.C. therapy. In this group a significant advantage regarding cost and time of hospitalization was observed.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Despite higher primary introduction costs an early V.A.C. therapy in patients with secondary wound healing and lymph obstruction is advisable and resulted in a shortened hospitalization and reduced overall costs per patient.</AbstractText>
</Abstract>
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<LastName>Rau</LastName>
<ForeName>O</ForeName>
<Initials>O</Initials>
<AffiliationInfo>
<Affiliation>Urologische Universitätsklinik, Universitätsklinikum Magdeburg A. ö. R., Deutschland. olrik.rau@medizin.uni-magdeburg.de</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Reiher</LastName>
<ForeName>F</ForeName>
<Initials>F</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Tautenhahn</LastName>
<ForeName>J</ForeName>
<Initials>J</Initials>
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<LastName>Allhoff</LastName>
<ForeName>E-P</ForeName>
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<Language>ger</Language>
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<VernacularTitle>Die V.A.C. (Vacuum Assisted Closure) Therapie als Behandlungsalternative bei Komplikationen nach Durchführung einer Lymphadenektomie bei fortgeschrittenen Peniskarzinomen.</VernacularTitle>
</Article>
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<Country>Germany</Country>
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<NlmUniqueID>0413645</NlmUniqueID>
<ISSNLinking>0044-409X</ISSNLinking>
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<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
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<DescriptorName UI="D003646" MajorTopicYN="N">Debridement</DescriptorName>
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<DescriptorName UI="D005402" MajorTopicYN="N">Fistula</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
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<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D009361" MajorTopicYN="N">Neoplasm Invasiveness</DescriptorName>
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<DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D009779" MajorTopicYN="Y">Occlusive Dressings</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010412" MajorTopicYN="N">Penile Neoplasms</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
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<DescriptorName UI="D011182" MajorTopicYN="N">Postoperative Care</DescriptorName>
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</MeshHeading>
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<DescriptorName UI="D013530" MajorTopicYN="N">Surgical Wound Infection</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
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<DescriptorName UI="D014618" MajorTopicYN="N">Vacuum</DescriptorName>
</MeshHeading>
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<DescriptorName UI="D014945" MajorTopicYN="N">Wound Healing</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName>
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