Wound Healing Complications After Radical Vulvectomy-treatment With the Use of Vacuum-assisted Closure (VAC)

Abstract: Cancer of the vulva accounts 3-5% of gynaecologic malignancies. In 90% it is a squamous cell carcinoma. The most common location is labia majora. Surgical treatment of vulvar cancer is often followed by complications in wound healing process. The aim of this work is to present advantages of negative-pressure drainage used in postoperative therapy of the wound. A patient diagnosed with a cancer of the vulva underwent radical vulvectomy with bilateral lymphadenectomy. Postoperatively, complex wound failure was observed and the patient was treated with vacuum-assisted closure therapy (VAC). After 10 days, the use of VAC resulted in amelioration of the wound state. Vacuum-assisted closure aims to reduce total time of wound healing, hospitalization and nursing work. Additionally, it enables to ameliorate patient’s general state. It is a safe and successful method used worldwide and it should be considered to be introduced in gynaecologic patients after.

Authors:

Wojciech Szanecki, Grzegorz Cwynar, Iwona Czech, Piotr Fuchs, Angelika Ambroziak, Andrzej Witek

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