Abstract
Lymphatic complications, such as lymphocutaneous fistula (LF) and lymphocele, are relatively uncommon after vascular procedures, but their treatment represents a serious challenge. Vacuum assisted closure (VAC) therapy has been reported to be an effective therapeutic option for LF, but the effectiveness of VAC therapy for lymphoceles is unclear. For LF, we apply the VAC directly to the skin defect after extending it to achieve a clean wound of at least one inch in length. To treat lymphocele, we convert the lymphocele to a LF in a sterile fashion by making a one inch incision in the overlying skin and applying the VAC. The setting was a community teaching hospital. We used 10 patients that we treated with VAC therapy for LF (n = 4) and lymphoceles (n = 6). Duration of in-patient stay, duration of in-patient VAC treatment, duration of out-patient VAC treatment, total duration of VAC treatment. The median duration of in-patient stay was 4 (range, 0-18) days, the median duration of in-patient VAC treatment was 1 (range, 0-5) days, the median duration of out-patient VAC treatment was 16 (range, 7-28) days), and the median total duration of VAC therapy was 18 (range, 13-29) days. Successful wound healing was achieved in all patients...Continue Reading
References
Dec 1, 1979·Archives of Surgery·J H KwaanJ E Connolly
Jul 15, 1978·British Medical Journal·R J Croft
Dec 1, 1971·The British Journal of Surgery·J J Pflug, J S Calnan
Aug 1, 1995·American Journal of Surgery·M A SchwartzJ Stein
Jun 1, 1995·European Journal of Obstetrics, Gynecology, and Reproductive Biology·J J Folk, A G Musa
May 1, 1994·Journal of Vascular Surgery·S H TyndallC B Ernst
Mar 1, 1993·American Journal of Surgery·J R RobertsC E Jones
Apr 1, 1996·Surgery·K C KentJ J Skillman
Aug 1, 1997·AJR. American Journal of Roentgenology·D A Zuckerman, T D Yeager
Oct 6, 1997·Journal of Vascular and Interventional Radiology : JVIR·R K KerlanE J Ring
Apr 20, 2002·Plastic and Reconstructive Surgery·Wayne K Stadelmann, Gordon R Tobin
Jan 28, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Frank R ArkoChristopher K Zarins
Mar 13, 2003·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Jürgen PinocyGerhard Ziemer
Apr 2, 2003·Vascular and Endovascular Surgery·A L Jackson SlappyJ Mark McKinney
Apr 1, 2005·The Heart Surgery Forum·Daniel R WatsonRichard Snow
Jun 1, 2005·Plastic and Reconstructive Surgery·Michele A ShermakJames Wong
Nov 9, 2005·Journal of Vascular Surgery·Hasan H DosluogluGregory S Cherr
Jun 27, 2006·Plastic and Reconstructive Surgery·Louis C ArgentaLisa R David
Feb 27, 2007·Journal of Vascular Surgery·Babak AbaiFrank T Padberg
Citations
Nov 7, 2014·Case Reports in Transplantation·Marco FranchinGabriele Piffaretti
Dec 17, 2010·The British Journal of Radiology·C LohrmannM Langer
Oct 8, 2013·Cirugía española·Carla Basés ValenzuelaJosé Puche Pla
Oct 31, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Robert TauberTobias Maurer
Sep 26, 2009·Clinics in Podiatric Medicine and Surgery·Claire M Capobianco, Thomas Zgonis
Jan 15, 2010·Journal of the European Academy of Dermatology and Venereology : JEADV·J KlodeJ Dissemond
Jul 19, 2013·Gynecologic Oncology·Angela Wills, Andreas Obermair
Dec 31, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Hongda BiJunhui Li
Jul 16, 2016·Advances in Urology·Johannes-J KarschJürgen Breul
Jan 19, 2017·Medicine·Yongchao YuHongda Bi
Mar 29, 2014·Vascular·Ufuk AydinCevdet Ugur Kocogullari
Dec 30, 2017·JBJS Case Connector·Hiroshi KobayashiHirotaka Kawano
Sep 11, 2013·Journal of the Korean Surgical Society·Yong-Kyu CheongSung-Gyu Lee
Jan 14, 2011·Plastic and Reconstructive Surgery·Dennis P Orgill, Lauren R Bayer
Mar 20, 2019·Advances in Skin & Wound Care·Yeseul Eom, Kyong-Je Woo
May 29, 2020·The Journal of Obstetrics and Gynaecology Research·Ayano ShimonoHikaru Kono
Mar 28, 2017·Journal of Wound Care·Jan ApelqvistPeter Vowden
Mar 3, 2020·Annals of Plastic Surgery·William WatfaPietro Giovanni di Summa
Dec 4, 2019·International Journal of Surgery Case Reports·Caio Cesar Martins FocássioVitor Leoni Boher Lopes Dornas