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The Management of Vacuum-assisted Closure Following Vulvectomy with Skin Grafting

Vulvectomies often require removal of large areas of vulvar skin, which may result in problems with wound healing, including infections and scarring. At times, skin grafting is needed following a vulvectomy, and for large excisions, a Foley catheter and rectal tube are often required. Vacuum-assiste...

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Autores principales: Hu, Jun, Haefner, Hope K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977938/
https://www.ncbi.nlm.nih.gov/pubmed/29876173
http://dx.doi.org/10.1097/GOX.0000000000001726
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author Hu, Jun
Haefner, Hope K.
author_facet Hu, Jun
Haefner, Hope K.
author_sort Hu, Jun
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description Vulvectomies often require removal of large areas of vulvar skin, which may result in problems with wound healing, including infections and scarring. At times, skin grafting is needed following a vulvectomy, and for large excisions, a Foley catheter and rectal tube are often required. Vacuum-assisted closure (VAC) for vulvectomy, with or without skin grafting, has been used for a variety of vulvar conditions. The difficult portion of performing these procedures, with the use of the wound VAC, is obtaining an adequate seal around the Foley catheter and rectal tube. The authors present some useful tips to optimize obtaining and maintaining an adequate seal with the use of Hollister wafers and transparent film dressing during these procedures. This technique has been performed on over 25 patients since 2006. All extensive vulvar wounds requiring split-thickness skin grafts were dressed with a VAC device. With the use of these tips, surgery time and postoperative wound VAC leak alarms have decreased.
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spelling pubmed-59779382018-06-06 The Management of Vacuum-assisted Closure Following Vulvectomy with Skin Grafting Hu, Jun Haefner, Hope K. Plast Reconstr Surg Glob Open Ideas and Innovations Vulvectomies often require removal of large areas of vulvar skin, which may result in problems with wound healing, including infections and scarring. At times, skin grafting is needed following a vulvectomy, and for large excisions, a Foley catheter and rectal tube are often required. Vacuum-assisted closure (VAC) for vulvectomy, with or without skin grafting, has been used for a variety of vulvar conditions. The difficult portion of performing these procedures, with the use of the wound VAC, is obtaining an adequate seal around the Foley catheter and rectal tube. The authors present some useful tips to optimize obtaining and maintaining an adequate seal with the use of Hollister wafers and transparent film dressing during these procedures. This technique has been performed on over 25 patients since 2006. All extensive vulvar wounds requiring split-thickness skin grafts were dressed with a VAC device. With the use of these tips, surgery time and postoperative wound VAC leak alarms have decreased. Wolters Kluwer Health 2018-04-26 /pmc/articles/PMC5977938/ /pubmed/29876173 http://dx.doi.org/10.1097/GOX.0000000000001726 Text en Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Ideas and Innovations
Hu, Jun
Haefner, Hope K.
The Management of Vacuum-assisted Closure Following Vulvectomy with Skin Grafting
title The Management of Vacuum-assisted Closure Following Vulvectomy with Skin Grafting
title_full The Management of Vacuum-assisted Closure Following Vulvectomy with Skin Grafting
title_fullStr The Management of Vacuum-assisted Closure Following Vulvectomy with Skin Grafting
title_full_unstemmed The Management of Vacuum-assisted Closure Following Vulvectomy with Skin Grafting
title_short The Management of Vacuum-assisted Closure Following Vulvectomy with Skin Grafting
title_sort management of vacuum-assisted closure following vulvectomy with skin grafting
topic Ideas and Innovations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977938/
https://www.ncbi.nlm.nih.gov/pubmed/29876173
http://dx.doi.org/10.1097/GOX.0000000000001726
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