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Application of Negative-Pressure Wound Therapy in Patients with Wound Complications after Flap Repair for Vulvar Cancer: A Retrospective Study

  • 0Liangzhi Qiu, MSN, RN; Xianrong Wu, BSN, RN; and Xiu Wang, BSN, RN are Nurses Certified in Wound, Ostomy, and Continence, Chronic Wound and Ostomy Department, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. The authors have disclosed no financial relationships related to this article. Submitted October 19, 2023; accepted in revised form June 24, 2024.
Advances in Skin & Wound Care +

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December 12, 2024

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December 12, 2024

View abstract on PubMed

Summary

This summary is machine-generated.

Negative-pressure wound therapy (NPWT) effectively treats postoperative wound complications after vulvectomy with flap repair. This safe therapy accelerates healing for vulvar cancer patients, with most achieving full recovery.

Area Of Science

  • Oncology
  • Plastic Surgery
  • Wound Healing

Background

  • Vulvectomy with flap repair is a complex procedure often associated with postoperative wound complications (WCs).
  • Effective management of WCs is crucial for patient recovery and oncological outcomes in vulvar cancer treatment.

Purpose Of The Study

  • To characterize postoperative wound complications following vulvectomy with flap repair.
  • To evaluate the efficacy and safety of negative-pressure wound therapy (NPWT) in managing these complications.

Main Methods

  • Retrospective review of 17 patients treated for WCs after vulvectomy with flap repair (January 2016 - December 2022).
  • All patients received negative-pressure wound therapy (NPWT).
  • Analysis of wound healing rates, healing times, and NPWT-related complications.

Main Results

  • The most frequent WCs were seroma and lymphorrhea (52.94%), followed by infection (35.29%) and dehiscence (17.65%).
  • 16 out of 17 patients achieved complete wound healing with NPWT, with a mean healing time of 43.50 days.
  • Procedural pain was the primary NPWT-related complication (17.65%).

Conclusions

  • Negative-pressure wound therapy (NPWT) demonstrates efficacy in managing postoperative wound complications after vulvectomy with flap repair.
  • NPWT appears to accelerate wound healing in vulvar cancer patients undergoing flap repair.
  • The therapy is considered safe for clinical application in this patient population.