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Related Experiment Videos

Deep infection after ilioinguinal node dissection: vacuum-assisted closure therapy?

Pascal Steenvoorde1, Eveline Slotema, Santosh Adhin

  • 1Department of Surgery, Rijnland Hospital, Leiderdorp, the Netherlands. p.steenvoorde@lumc.nl

The International Journal of Lower Extremity Wounds
|May 4, 2005
PubMed
Summary

Vacuum-assisted closure (VAC) therapy effectively treated a deep wound infection and lymphatic fistula following ilioinguinal node dissection for melanoma. This approach led to complete wound closure with split skin grafting, avoiding further surgery.

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Area of Science:

  • Oncology
  • Wound Healing
  • Surgical Complications

Background:

  • Iliinguinal node dissection for metastatic melanoma carries a high risk of wound infection (9-16%).
  • Deep wound infections can lead to extensive skin necrosis and complications like lymphatic fistulas.

Purpose of the Study:

  • To report a case of successful management of a deep wound infection with a lymphatic fistula after ilioinguinal node dissection.
  • To evaluate the efficacy of vacuum-assisted closure (VAC) therapy in treating complex groin wound complications.

Main Methods:

  • A patient with metastatic melanoma underwent ilioinguinal node dissection, developing a deep wound infection with significant fluid leakage.
  • Vacuum-assisted closure (VAC) therapy was initiated after conservative management and operative debridement failed to control the infection and lymphatic fistula.

Related Experiment Videos

  • Split skin graft therapy was used concurrently with VAC therapy for wound closure.

    • Main Results:

    • VAC therapy successfully stopped lymphatic leakage within 11 days.
    • The wound infection and necrosis were managed effectively, allowing for successful split skin grafting.
    • Complete wound closure was achieved without complications, and the treatment was well-tolerated by the patient.

    Conclusions:

    • Vacuum-assisted closure (VAC) therapy is a valuable tool for managing deep wound infections and lymphatic fistulas post-ilioinguinal node dissection.
    • This case highlights the successful integration of VAC therapy and skin grafting for complex surgical site infections.
    • VAC therapy offers a less invasive and effective treatment option for challenging wound complications in oncologic surgery.