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Vacuum-assisted closure for open perineal wound after abdominoperineal resection

INTRODUCTION: In colorectal cancer surgery, surgical site infection (SSI) is a common complication, and especially, perineal wound complications after abdominoperineal resection (APR) remain to be serious clinical problems. Vacuum-assisted closure (VAC) therapy was first reported in another surgical...

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Autores principales: Fujino, Shiki, Miyoshi, Norikatsu, Ohue, Masayuki, Noura, Shingo, Fujiwara, Yoshiyuki, Yano, Masahiko, Higashiyama, Masahiko, Sakon, Masato
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4446692/
https://www.ncbi.nlm.nih.gov/pubmed/25942750
http://dx.doi.org/10.1016/j.ijscr.2015.04.031
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author Fujino, Shiki
Miyoshi, Norikatsu
Ohue, Masayuki
Noura, Shingo
Fujiwara, Yoshiyuki
Yano, Masahiko
Higashiyama, Masahiko
Sakon, Masato
author_facet Fujino, Shiki
Miyoshi, Norikatsu
Ohue, Masayuki
Noura, Shingo
Fujiwara, Yoshiyuki
Yano, Masahiko
Higashiyama, Masahiko
Sakon, Masato
author_sort Fujino, Shiki
collection PubMed
description INTRODUCTION: In colorectal cancer surgery, surgical site infection (SSI) is a common complication, and especially, perineal wound complications after abdominoperineal resection (APR) remain to be serious clinical problems. Vacuum-assisted closure (VAC) therapy was first reported in another surgical field in 1997, and it is useful for treating complex wounds because it promotes granulation. VAC therapy has been recently used for open abdominal wounds. We introduced VAC for treating open perineal wound of APR and report the usefulness of it. PRESENTATION OF CASE: We treated four patients. Firstly, in cases 1 and 2, we introduced VAC therapy to the management of SSI of the perineal wound after APR, and it was useful to control postoperative perineal wound infection. And also, in cases 3 and 4, we introduced VAC therapy to prevent perineal wound infection. Perineal wound infection did not happen. DISCUSSION: A vertical rectus abdominis myocutaneous flap has been reported to decrease perineal wound complications including pelvic abscess and open perineal wound; however it results in significant operative blood loss, increased operative time, and additional surgical complications. In our cases, there were no complications relating to VAC therapy and it promoted rapid wound healing. Our results suggested that it is an effective treatment for APR in a high-risk case of an open perineal wound. CONCLUSION: VAC therapy is a less invasive method and a useful treatment for open perineal wound of APR.
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spelling pubmed-44466922015-05-29 Vacuum-assisted closure for open perineal wound after abdominoperineal resection Fujino, Shiki Miyoshi, Norikatsu Ohue, Masayuki Noura, Shingo Fujiwara, Yoshiyuki Yano, Masahiko Higashiyama, Masahiko Sakon, Masato Int J Surg Case Rep Case Report INTRODUCTION: In colorectal cancer surgery, surgical site infection (SSI) is a common complication, and especially, perineal wound complications after abdominoperineal resection (APR) remain to be serious clinical problems. Vacuum-assisted closure (VAC) therapy was first reported in another surgical field in 1997, and it is useful for treating complex wounds because it promotes granulation. VAC therapy has been recently used for open abdominal wounds. We introduced VAC for treating open perineal wound of APR and report the usefulness of it. PRESENTATION OF CASE: We treated four patients. Firstly, in cases 1 and 2, we introduced VAC therapy to the management of SSI of the perineal wound after APR, and it was useful to control postoperative perineal wound infection. And also, in cases 3 and 4, we introduced VAC therapy to prevent perineal wound infection. Perineal wound infection did not happen. DISCUSSION: A vertical rectus abdominis myocutaneous flap has been reported to decrease perineal wound complications including pelvic abscess and open perineal wound; however it results in significant operative blood loss, increased operative time, and additional surgical complications. In our cases, there were no complications relating to VAC therapy and it promoted rapid wound healing. Our results suggested that it is an effective treatment for APR in a high-risk case of an open perineal wound. CONCLUSION: VAC therapy is a less invasive method and a useful treatment for open perineal wound of APR. Elsevier 2015-04-29 /pmc/articles/PMC4446692/ /pubmed/25942750 http://dx.doi.org/10.1016/j.ijscr.2015.04.031 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Fujino, Shiki
Miyoshi, Norikatsu
Ohue, Masayuki
Noura, Shingo
Fujiwara, Yoshiyuki
Yano, Masahiko
Higashiyama, Masahiko
Sakon, Masato
Vacuum-assisted closure for open perineal wound after abdominoperineal resection
title Vacuum-assisted closure for open perineal wound after abdominoperineal resection
title_full Vacuum-assisted closure for open perineal wound after abdominoperineal resection
title_fullStr Vacuum-assisted closure for open perineal wound after abdominoperineal resection
title_full_unstemmed Vacuum-assisted closure for open perineal wound after abdominoperineal resection
title_short Vacuum-assisted closure for open perineal wound after abdominoperineal resection
title_sort vacuum-assisted closure for open perineal wound after abdominoperineal resection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4446692/
https://www.ncbi.nlm.nih.gov/pubmed/25942750
http://dx.doi.org/10.1016/j.ijscr.2015.04.031
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