Author:
Denzinger Stefan,Luebke Lars,Burger Maximilian,Kessler Sigurd,Wieland Wolf F,Otto Wolfgang
Abstract
Abstract
Background
Vacuum-assisted closure (VAC) is an acknowledged method of treating wound healing disorders, but has been viewed as a contraindication in therapy of intraabdominal fistulas.
Case presentation
We present the case of an 83-year old patient with ureteroileal anastomotic insufficiency following cystectomy and urinary diversion by Bricker ileal conduit due to urothelial bladder cancer. After developing an open abdomen on the 16th postoperative day a leakage of the ureteroileal anastomosis appeared that cannot be managed by surgical means. To stopp the continued leakage we tried a modified VAC therapy with a silicon covered polyurethane foam under a suction of 125 mmHg. After 32 days with regularly changes of the VAC foam under general anesthesia the fistula resolved without further problems of ureteroileal leakage.
Conclusion
We present the first report of VAC therapy successfully performed in urinary tract leakage after surgical treatment of bladder cancer. VAC therapy of such disorders requires greater care than of superficial application to avoid mechanical alterations of internal organs but opens new opportunities in cases without surgical alternatives.
Publisher
Springer Science and Business Media LLC
Reference10 articles.
1. Argenta LC, Morykwas MJ: Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg. 1997, 38: 563-576. 10.1097/00000637-199706000-00002.
2. Whelan C, Stewart J, Schwartz BF: Mechanics of wound healing and importance of Vacuum Assisted Closure in urology. J Urol. 2005, 173: 1463-1470. 10.1097/01.ju.0000157339.05939.21.
3. Rosser C, Morykwas M: A new technique to manage perineal wounds. Infect Urol. 2000, 16: 45-47.
4. Denzinger S, Luebke L, Roessler W, Wieland WF, Kessler S, Burger M: Vacuum-assisted closure vs. conventional wound care in the treatment of wound failures following inguinal lymphadenectomy for penile cancer: a retrospective study. Eur Urol. 2006,
5. Wiesner C, Thuroff JW: Techniques for uretero-intestinal reimplantation. Curr Opin Urol. 2004, 14: 351-355. 10.1097/00042307-200411000-00010.
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