Using Vacuum- Assisted Closure Technique For Wound Failure After Cytoreductive Surgery: A Case Report

Year 2016, Özel Sayı, 38 - 41, 01.06.2016

Alper Başbuğ Gizem Yavuzcan Ali Yavuzcan , İsmail Yılmaz

Abstract

Wound failures in healing brings negative results such as high cost and along duration of treatment. The vacuum -assisted closure technique VAK is a technique that keeps the wound environment under sterile condition and decreases the frequency of changing protective covers of wound. By creating mechanical stress with negative pressure of the vacuum system; wound edges diminish, granulation formation accelerates, cellular proliferation and neoangiogenesis increases. There are only a limited number of case series and case reports are available on the use of VAK in obstetrics/gynecology practices. In this report, we presented superficial wound separation treated with VAK in an obese patient having a cytoreductive surgery for clear cell ovarian carcinoma.

Keywords

Cytoreductive surgery, ovarian carcinoma, vacuum assisted closure

Sitoredüktif Cerrahi Sonrası Başarısız Yara Yeri İyileşmesinde Vakum Asiste Kapatma Tekniği Kullanımı: Bir Olgu Sunumu

Abstract

Yara yeri iyileşmesindeki başarısızlıklar yüksek maliyet ve uzun tedavi süresi gibi olumsuz sonuçları beraberinde getirmektedir. Vakum asiste kapatma tekniği VAK yara ortamını steril tutan ve yarayı koruyucu örtülerin sık değişmesini engelleyen bir tekniktir. Vakum sistemi negatif basınç ile mekanik gerilim oluşturarak; yara kenarlarını küçültür, granülasyon formasyonunu hızlandırır, hücresel proliferasyonu ve neoanjiogenezi arttırır. Jinekoloji ve obstetri pratiğinde VAK kullanımı ile ilgili sınırlı sayıda olgu serileri ve vaka sunumları mevcuttur. Bu raporda berrak hücreli ovaryen karsinom nedeniyle sitoredüktif cerrahi yapılan obes bir hastada insizyon yerinin yüzeyel ayrılmasının VAK ile tedavisi sunulmuştur.

Keywords

Ovaryen karsinom, sitoredüktif cerrahi, vakum asiste kapatma

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