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Wound Bed Preparation for Capsulectomy Using a Hydrosurgery System

Yushi Suzuki¹, Masaki Yazawa¹, Kazuo Kishi¹

¹Department of Plastic and Reconstructive Surgery, Keio Gijuku Daigaku, Shinanomachi Campus, Shinjuku-ku, Tokyo, Japan.

Wounds : a Compendium of Clinical Research and Practice

|May 3, 2018

Abstract

Introduction:

Wound bed preparation is necessary for proper wound healing.

Case Report:

The case of a 75-year-old man with good outcomes after using a hydrosurgery system for capsulectomy is presented. At a 2-month follow-up visit, a fistula measuring 15 cm x 10 cm was found to have developed in the patient's left scapular region after the first wide-excision surgery for soft tissue sarcoma and reconstruction of the defect using a local flap. The wound had fluid collection and a capsule that was then debrided with a hydrosurgery system. Since no infection was detected, closure with a pedicled latissimus dorsi (LD) muscle flap (15 cm x 6 cm) was performed. Due to persistent fluid collection, the LD harvest site had to be drained after discharge (18 days postoperatively); however, in the regions debrided by the hydrosurgery system, the suction drain could be removed early.

Conclusions:

In the case reported herein, the hydrosurgery system proved beneficial for capsulectomy.

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