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Vacuum-assisted closure therapy in ureteroileal anastomotic leakage after surgical therapy of bladder cancer
BACKGROUND: Vacuum-assisted closure (VAC) is an acknowledged method of treating wound healing disorders, but has been viewed as a contraindication in therapy of intraabdominal fistulas. CASE PRESENTATION: We present the case of an 83-year old patient with ureteroileal anastomotic insufficiency follo...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2007
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1855326/ https://www.ncbi.nlm.nih.gov/pubmed/17430598 http://dx.doi.org/10.1186/1477-7819-5-41 |
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author | Denzinger, Stefan Luebke, Lars Burger, Maximilian Kessler, Sigurd Wieland, Wolf F Otto, Wolfgang |
author_facet | Denzinger, Stefan Luebke, Lars Burger, Maximilian Kessler, Sigurd Wieland, Wolf F Otto, Wolfgang |
author_sort | Denzinger, Stefan |
collection | PubMed |
description | BACKGROUND: Vacuum-assisted closure (VAC) is an acknowledged method of treating wound healing disorders, but has been viewed as a contraindication in therapy of intraabdominal fistulas. CASE PRESENTATION: We present the case of an 83-year old patient with ureteroileal anastomotic insufficiency following cystectomy and urinary diversion by Bricker ileal conduit due to urothelial bladder cancer. After developing an open abdomen on the 16(th )postoperative day a leakage of the ureteroileal anastomosis appeared that cannot be managed by surgical means. To stopp the continued leakage we tried a modified VAC therapy with a silicon covered polyurethane foam under a suction of 125 mmHg. After 32 days with regularly changes of the VAC foam under general anesthesia the fistula resolved without further problems of ureteroileal leakage. CONCLUSION: We present the first report of VAC therapy successfully performed in urinary tract leakage after surgical treatment of bladder cancer. VAC therapy of such disorders requires greater care than of superficial application to avoid mechanical alterations of internal organs but opens new opportunities in cases without surgical alternatives. |
format | Text |
id | pubmed-1855326 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2007 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-18553262007-04-25 Vacuum-assisted closure therapy in ureteroileal anastomotic leakage after surgical therapy of bladder cancer Denzinger, Stefan Luebke, Lars Burger, Maximilian Kessler, Sigurd Wieland, Wolf F Otto, Wolfgang World J Surg Oncol Case Report BACKGROUND: Vacuum-assisted closure (VAC) is an acknowledged method of treating wound healing disorders, but has been viewed as a contraindication in therapy of intraabdominal fistulas. CASE PRESENTATION: We present the case of an 83-year old patient with ureteroileal anastomotic insufficiency following cystectomy and urinary diversion by Bricker ileal conduit due to urothelial bladder cancer. After developing an open abdomen on the 16(th )postoperative day a leakage of the ureteroileal anastomosis appeared that cannot be managed by surgical means. To stopp the continued leakage we tried a modified VAC therapy with a silicon covered polyurethane foam under a suction of 125 mmHg. After 32 days with regularly changes of the VAC foam under general anesthesia the fistula resolved without further problems of ureteroileal leakage. CONCLUSION: We present the first report of VAC therapy successfully performed in urinary tract leakage after surgical treatment of bladder cancer. VAC therapy of such disorders requires greater care than of superficial application to avoid mechanical alterations of internal organs but opens new opportunities in cases without surgical alternatives. BioMed Central 2007-04-12 /pmc/articles/PMC1855326/ /pubmed/17430598 http://dx.doi.org/10.1186/1477-7819-5-41 Text en Copyright © 2007 Denzinger et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Denzinger, Stefan Luebke, Lars Burger, Maximilian Kessler, Sigurd Wieland, Wolf F Otto, Wolfgang Vacuum-assisted closure therapy in ureteroileal anastomotic leakage after surgical therapy of bladder cancer |
title | Vacuum-assisted closure therapy in ureteroileal anastomotic leakage after surgical therapy of bladder cancer |
title_full | Vacuum-assisted closure therapy in ureteroileal anastomotic leakage after surgical therapy of bladder cancer |
title_fullStr | Vacuum-assisted closure therapy in ureteroileal anastomotic leakage after surgical therapy of bladder cancer |
title_full_unstemmed | Vacuum-assisted closure therapy in ureteroileal anastomotic leakage after surgical therapy of bladder cancer |
title_short | Vacuum-assisted closure therapy in ureteroileal anastomotic leakage after surgical therapy of bladder cancer |
title_sort | vacuum-assisted closure therapy in ureteroileal anastomotic leakage after surgical therapy of bladder cancer |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1855326/ https://www.ncbi.nlm.nih.gov/pubmed/17430598 http://dx.doi.org/10.1186/1477-7819-5-41 |
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