鼠径リンパ節郭清術後の難治性リンパ漏に対して局所陰圧閉鎖療法が有効であった1例

DOI Web Site PubMed 被引用文献2件 参考文献16件
  • 伊藤 悠城
    独立行政法人国立病院機構相模原病院泌尿器科
  • 荒尾 正亨
    独立行政法人国立病院機構相模原病院泌尿器科
  • 石垣 華子
    独立行政法人国立病院機構相模原病院泌尿器科
  • 白井 明
    独立行政法人国立病院機構相模原病院皮膚科
  • 山坂 友美
    独立行政法人国立病院機構相模原病院WOC
  • 平井 耕太郎
    独立行政法人国立病院機構相模原病院泌尿器科

書誌事項

タイトル別名
  • THE USE OF NEGATIVE PRESSURE WOUND THERAPY TO TREAT WOUND NECROSIS AND GROIN LYMPHORRHEA AFTER INGUINAL LYMPH NODES DISSECTION: A CASE REPORT
  • ショウレイ ホウコク ソケイ リンパセツカクセイ ジュツゴ ノ ナンチセイ リンパロウ ニ タイシテ キョクショ インアツ ヘイサ リョウホウ ガ ユウコウ デ アッタ 1レイ

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抄録

Wound necrosis and groin lymphorrhea after inguinal lymph nodes dissection are serious complications. But treatment options for these complications are somewhat controversial. We report a patient who underwent an inguinal lymph node dissection for a regional metastasized squamous cell carcinoma of penis. Unfortunately, a extensive wound necrosis occurred with lymphorrhea (300 cc daily). After operative debridement, negative pressure wound therapy was started. We had used the instrument " V.A.C. (Vacuum Assisted Closure) ATS® Therapy System" (KCI U.S.A.). After 11 days of negative pressure wound therapy, the good formation granulation tissue was observed and the lymphatic leakage was prominently decreased. This therapy was performed without serious complications but tolerable localized pain due to negative pressure. There were only seven reports that gave the description of an approach using negative pressure wound therapy for the less invasive treatment of lymphocutaneous fistulas and evaluated the efficacy of this therapy as an alternative medical procedure for treating lymphorrhea. This case suggested that negative pressure wound therapy could not only promote wound healing but also improve intractable lymphorrhea.

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