Efficacy of vacuum-assisted closure in wound-care management of patients with gynecological cancer

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  • TAKEHARA Yae
    Department of Obstetrics and Gynecology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
  • MORI Taisuke
    Department of Obstetrics and Gynecology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
  • SAWADA Morio
    Department of Obstetrics and Gynecology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
  • KUROBOSHI Haruo
    Department of Obstetrics and Gynecology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
  • TATSUMI Hiroshi
    Department of Obstetrics and Gynecology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
  • IWASAKU Kazuhiro
    Department of Obstetrics and Gynecology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
  • KITAWAKI Jo
    Department of Obstetrics and Gynecology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science

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Other Title
  • 当院における婦人科悪性腫瘍手術時の創閉鎖の工夫と検討
  • 臨床研究 当院における婦人科悪性腫瘍手術時の創閉鎖の工夫と検討
  • リンショウ ケンキュウ トウ イン ニ オケル フジンカ アクセイ シュヨウ シュジュツジ ノ ソウヘイサ ノ クフウ ト ケントウ

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Abstract

Synopsis Wound infection or disruption after gynecological surgery, due to prolonged operation or large incisions could pose a serious problem, especially when adjuvant chemotherapy or radiation therapy is required. Vacuum-assisted closure is a novel therapy that promotes wound healing by using negative pressure. In this study, we aimed at retrospectively investigating the efficacy of vacuum-assisted closure therapy with corium sutures on wound-care management in comparison with that of a conventional method involving the use of subcutaneous sutures and staples. Between April 2009 and March 2011, 87 patients were enrolled in the study. A conventional method for wound closure was used in 30 patients, and vacuum-assisted closure therapy with corium sutures was used in 57 patients. The surgical site infection (SSI), wound disruption rate, and date of starting adjuvant therapy after surgery in both groups were evaluated. Vacuum-assisted closure with corium sutures reduced the complications of wound healing, such as SSI and disruption (complication rate (Vacuum-assisted closure vs. conventional methods: 6.7% vs. 3.5% and 6.7% vs. 1.8%, respectively). It also allowed the administration of an additional therapy earlier than the conventional methods (35.5 days vs. 27.2 days, respectively; p = 0.014). We conclude that vacuum-assisted closure with corium sutures could be a novel, effective, and safe method for wound-care management of gynecological malignancies. [Adv Obstet Gynecol, 64 (2) : 101-105, 2012 (H24.5)]

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