Negative pressure wound therapy for inguinal lymphatic complications in critically ill patients.
10.4174/jkss.2013.85.3.134
- Author:
Yong Kyu CHEONG
1
;
Heungman JUN
;
Yong Pil CHO
;
Gi Won SONG
;
Ki Myung MOON
;
Tae Won KWON
;
Sung Gyu LEE
Author Information
1. Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. ypcho@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Wound;
Lymphatic;
Complication;
Negative pressure;
Therapy
- MeSH:
Critical Illness;
Drainage;
Follow-Up Studies;
Hemorrhage;
Hepatic Veins;
Humans;
Ligation;
Liver;
Liver Transplantation;
Negative-Pressure Wound Therapy;
Outpatients;
Recurrence;
Saphenous Vein;
Transplants;
Wound Healing
- From:Journal of the Korean Surgical Society
2013;85(3):134-138
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: In 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. METHODS: The 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. RESULTS: The 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). CONCLUSION: Negative 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.
