Vacuum-assisted closure in the treatment of gynecologic oncology wound failures

Schimp, Veronica; Worley, Cynthia A; Brunello, Sandi; Levenback, Charles; Wolf, Judith K.; Sun, Charlotte C.; Bodurka, Diane C.; Ramírez, Pedro T.

doi:10.1016/j.ygyno.2003.10.055

Cited by 50 publications

(32 citation statements)

References 5 publications

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“…Schimp et al reported their experience with VAC in the treatment of gynecologic oncology wound failures. They found that 26 of 27 (96%) of their study group had complete wound healing, as well as, a 96% reduction in median wound defects from 330 to 14 cm [22]. Although a prospective, randomized study would have been ideal, our retrospective cohort study demonstrates that VAC technology can be used safely and effectively in the treatment of radiation-associated wound complications; however it requires judicious management by a highly competent team.…”

Section: Discussionmentioning

confidence: 76%

Vacuum‐assisted closure for radiation‐associated wound complications

Siegel

Long

Watson

et al. 2007

Journal of Surgical Oncology

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Section: Discussionmentioning

confidence: 76%

Vacuum‐assisted closure for radiation‐associated wound complications

Siegel

Long

Watson

et al. 2007

Journal of Surgical Oncology

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“…Many studies reported significantly higher pain levels during therapy compared with their pain levels before treatment. [27][28][29] Moreover, high sensation is experienced during dressing change, especially in foam-based NPWT. It may be due to wound bed disruption and mechanical tissue damage when the foam and adhering tissue are torn from the wound bed [30].…”

Section: Discussionmentioning

confidence: 99%

Management of large chronic venous leg ulcers with negative pressure wound therapy

Walczak

Wojtyniak

Jaguścik

et al. 2017

NPWTJ

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Abstract-Introduction: Venous leg ulcers (VLU) occur in 1% of the adult population and are associated with chronic disability, diminished quality of life and high health-care costs. Treatment is often slow, difficult and recurrence is high because of inappropriate conditions of the wound bed.Patients and Methods: This study involves 14 patients with chronic venous ulcers larger than 100 cm 2 treated with negative pressure wound therapy (NPWT). Patients underwent a radical debridement of all devitalized tissues and partial stripping of an insufficient great saphenous vein in the first operation. After adequate haemostasis, NPWT kit was applied. Once the wounds were determined to be clean and adequate granulation tissue formation was achieved, split-thickness skin grafts were applied. Dressing impregnated with neutral triglycerides and silver ions was used as a first layer and the black polyurethane NPWT foam was applied over it. The pain assessment was performed for 7 patients using 10 cm visual analog scale (VAS).Results: The mean number of NPWT dressing changes prior to grafting was 5.8. The mean number of NPWT foam changes was 2.8 after skin grafting. We accomplished complete healing of 92% of applied skin grafts surface. One patient had recurrence of venous ulcers in the follow-up period. Moreover, one patient required regrafting.Conclusions: The application of NPWT provides quick wound-bed preparation and high graft take in venous ulcer treatment.

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“…Ces gestes de reconstructions nécessitent des équipes entraî-nées et des protocoles de soins rigoureux afin de garantir un résultat optimal [23,24]. D'autres techniques telles que la VAC-thérapie ont prouvé leur efficacité, avec une réduction considérable des désunions cicatricielles [25]. L'association de ces techniques aux mesures de prise en charge globale des patientes (renutrition, nursing.…”

Section: Discussionunclassified