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Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
04:05

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Published on: August 22, 2025

Vacuum-assisted closure treatment complicated by anasarca

Tal Friedman1, Melvyn Westreich, Avshalom Shalom

  • 1Department of Plastic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel. mony@netvision.net.il

Annals of Plastic Surgery
|September 28, 2005
PubMed

The vacuum-assisted closure system has proven to be effective and safe in the treatment of a variety of wound types. In this case report, we present a rare complication of anasarca due to hypoalbuminemia, which developed during vacuum-assisted closure treatment. The patient was known to suffer from clinically stable congestive heart failure and had not had previous hypoalbuminemia. We emphasize the need for careful monitoring of electrolytes and proteins in compromised patients that have marked wound drainage when they are treated with a negative-pressure apparatus.

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