Use of vacuum-assisted closure (VAC) therapy in treating lymphatic complications after vascular procedures: New approach for lymphoceles

Hamed, Osama H.; Muck, Patrick; Smith, James M.; Krallman, Kelli A.; Griffith, Nathan M.

doi:10.1016/j.jvs.2008.07.059

Cited by 43 publications

(50 citation statements)

References 26 publications

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“…Inguinal lymphatic complications have been reported after lymph node biopsy, arterial reconstruction, vascular cannulation, saphenous vein harvest, and other procedures, and are usually attributed to damage during dissection in the region of the femoral neurovascular bundle without detailed ligation of small lymphatics [1-4,10]. Despite all efforts to prevent lymphatic complications, the overall reported incidence ranges from 1.2% to 5.1% [1,2,11,12].…”

Section: Discussionmentioning

confidence: 99%

“…Despite all efforts to prevent lymphatic complications, the overall reported incidence ranges from 1.2% to 5.1% [1,2,11,12]. Patients with lymphatic complications have increased length of hospital stay, ranging from 22 to 36 days, and significantly increased risk of wound infection, reportedly up to 18% [11,12].…”

Section: Discussionmentioning

confidence: 99%

“…Lymphatic complications, such as lymphorrhea, lymphocutaneous fistula, and lymphocele, are uncommon after saphenous vein harvest in the inguinal area, but their treatment represents a serious challenge especially in critically ill patients [1-3]. Current treatment modalities for lymphatic complications are time consuming and moderately successful.…”

Section: Introductionmentioning

confidence: 99%

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Negative pressure wound therapy for inguinal lymphatic complications in critically ill patients

et al. 2013

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PurposeIn this study, we investigated the therapeutic potential of regulated negative pressure vacuum-assisted wound therapy for inguinal lymphatic complications in critically ill, liver transplant recipients.MethodsThe great saphenous vein was harvested for hepatic vein reconstruction during liver transplantation in 599 living-donor liver transplant recipients. Fourteen of the recipients (2.3%) developed postoperative inguinal lymphatic complications and were treated with negative pressure wound therapy, and they were included in this study.ResultsThe average total duration of negative pressure wound therapy was 23 days (range, 11 to 42 days). Complete resolution of the lymphatic complications and wound healing were achieved in all 14 patients, 5 of whom were treated in hospital and 9 as outpatients. There was no clinically detectable infection, bleeding or recurrence after an average follow-up of 27 months (range, 7 to 36 months).ConclusionNegative pressure wound therapy is an effective, readily-available treatment option that is less invasive than exploration and ligation of leaking lymphatics and provides good control of drainage and rapid wound closure in critically ill patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Negative pressure wound therapy for inguinal lymphatic complications in critically ill patients

et al. 2013

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“…В литературе имеются упоминания о при мене-нии ЛОД при самых различных патологиях: острой травме, ранах различного генеза, термических пора-жениях, остеомиелите, некротизирующем фасциите, пролежнях, гнойных ранах и трофических язвах, ди-абетической стопе, лимфостазе, перитоните, кишеч-ных свищах, абдоминальной травме, несостоятельно-сти кишечных анастомозов и абсцессах малого таза; в челюстно-лицевой, спинальной, торакальной, со-судистой, пластической и реконструктивной хирур-гии, в педиатрии [14,[18][19][20][21][22][23]. Использование специ-альных защитных покрытий, располагаемых между органами брюшной полости и пенополиуретановой губкой, на которую подается отрицательное давление, снижает риски развития таких осложнений, как ише-мия кишечника, кишечные свищи и кровотечения [24][25][26].…”

Section: актуальностьunclassified

Negative Pressure Wound Therapy in the Prevention of Infectious Wound Complications in Perineal Wound After Abdominoperineal Resection

Родоман¹,

Мальгина²,

Разбирин³

et al. 2016

jour

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“…A variety of treatment options has been described in the medical literature for lymphocutaneous fistulas, including leg elevation, continuous local pressure, negative pressure dressing therapy, radiotherapy and surgical therapy, including microsurgical and debulking procedures [4,[16][17][18][19]. On the basis of the MRL findings, two patients in the presented series were treated with surgical procedures.…”

Section: Lohrmann E Foeldi and M Langermentioning

confidence: 99%

Lymphocutaneous fistulas: pre-therapeutic evaluation by magnetic resonance lymphangiography

Lohrmann

Foeldi²,

Langer³

2011

BJR

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Objective: Lymphocutaneous fistulas with intractable lymphatic leakage represent a serious clinical condition leading to a severe impairment of quality of life for the affected patients. To date, no adequate diagnostic imaging modality is in existence to allow selection of the correct treatment option. The aim of this study was to perform a pre-therapeutic evaluation of the lymphatic system in patients with lymphocutaneous fistulas by magnetic resonance lymphangiography (MRL). Methods: Eight lower extremities in four patients with lymphocutaneous fistulas were examined by MRL. Three locations were examined: first, the lower leg and foot regions; second, the upper leg and the knee region; and third, the pelvic and retroperitoneal regions. A T 1 weighted three-dimensional (3D) spoiled gradient echo and a heavily T 2 weighted 3D turbo spin echo (3D-TSE) sequence were utilised to undertake MRL. Results: In all four patients (100%), the clinically suspected lymphocutaneous fistulas (groin and forefoot) were exactly delineated by MRL. In two patients (50%) adjacent diffuse lymphangiomatous changes were detected, extending into the upper leg, pelvis, retroperitoneum, abdomen and abdominal walls. In one patient (25%) with primary lymphoedema of the right lower extremity, MRL revealed an aplasia of the lymphatic collectors at the levels of the lower and upper leg. All patients (100%) suffered from an ipsilateral lymphoedema of the lower extremity, whereby in two patients with diffuse lymphangiomatosis the lymphatic vessels were consecutively enlarged up to a diameter of 6 mm. Conclusion: MRL is a safe and accurate imaging modality for a comprehensive evaluation of the lymphatic system in patients suffering from lymphocutaneous fistulas.

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Use of vacuum-assisted closure (VAC) therapy in treating lymphatic complications after vascular procedures: New approach for lymphoceles

Abstract: Our results suggest that VAC therapy is a convenient and effective therapeutic option for both LFs and lymphoceles.

Cited by 43 publications

References 26 publications

Negative pressure wound therapy for inguinal lymphatic complications in critically ill patients

Negative pressure wound therapy for inguinal lymphatic complications in critically ill patients

Negative Pressure Wound Therapy in the Prevention of Infectious Wound Complications in Perineal Wound After Abdominoperineal Resection

Lymphocutaneous fistulas: pre-therapeutic evaluation by magnetic resonance lymphangiography

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