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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/Curation ); 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 [Allemagne] ; F. Reiher ; J. Tautenhahn ; E-P Allhoff

Source :

RBID : pubmed:16575669

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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

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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>
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<nlm:affiliation>Urologische Universitätsklinik, Universitätsklinikum Magdeburg A. ö. R., Deutschland. olrik.rau@medizin.uni-magdeburg.de</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Urologische Universitätsklinik, Universitätsklinikum Magdeburg A. ö. R.</wicri:regionArea>
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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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<name sortKey="Tautenhahn, J" sort="Tautenhahn, J" uniqKey="Tautenhahn J" first="J" last="Tautenhahn">J. Tautenhahn</name>
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<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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<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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<nlm:affiliation>Urologische Universitätsklinik, Universitätsklinikum Magdeburg A. ö. R., Deutschland. olrik.rau@medizin.uni-magdeburg.de</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Urologische Universitätsklinik, Universitätsklinikum Magdeburg A. ö. R.</wicri:regionArea>
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<title level="j">Zentralblatt fur Chirurgie</title>
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<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="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Cicatrisation de plaie (physiologie)</term>
<term>Complications postopératoires ()</term>
<term>Durée du séjour</term>
<term>Débridement</term>
<term>Fistule ()</term>
<term>Humains</term>
<term>Infection de plaie opératoire ()</term>
<term>Invasion tumorale</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème ()</term>
<term>Maladies lymphatiques ()</term>
<term>Mâle</term>
<term>Métastase lymphatique (anatomopathologie)</term>
<term>Pansements occlusifs</term>
<term>Réintervention</term>
<term>Résultat thérapeutique</term>
<term>Soins postopératoires</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du pénis ()</term>
<term>Tumeurs du pénis (anatomopathologie)</term>
<term>Vide</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Métastase lymphatique</term>
<term>Tumeurs du pénis</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Lymphatic Metastasis</term>
<term>Penile Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Cicatrisation de plaie</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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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Complications postopératoires</term>
<term>Durée du séjour</term>
<term>Débridement</term>
<term>Fistule</term>
<term>Humains</term>
<term>Infection de plaie opératoire</term>
<term>Invasion tumorale</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème</term>
<term>Maladies lymphatiques</term>
<term>Mâle</term>
<term>Pansements occlusifs</term>
<term>Réintervention</term>
<term>Résultat thérapeutique</term>
<term>Soins postopératoires</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du pénis</term>
<term>Vide</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>
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<Affiliation>Urologische Universitätsklinik, Universitätsklinikum Magdeburg A. ö. R., Deutschland. olrik.rau@medizin.uni-magdeburg.de</Affiliation>
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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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<DescriptorName UI="D009779" MajorTopicYN="Y">Occlusive Dressings</DescriptorName>
</MeshHeading>
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<DescriptorName UI="D010412" MajorTopicYN="N">Penile Neoplasms</DescriptorName>
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<DescriptorName UI="D014618" MajorTopicYN="N">Vacuum</DescriptorName>
</MeshHeading>
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<DescriptorName UI="D014945" MajorTopicYN="N">Wound Healing</DescriptorName>
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