[en] INTRODUCTION: Groin lymphatic fistulas are a troublesome finding after limb revascularization surgery. Its management represents a difficult task for the clinician.
REPORT: We report our experience in the treatment of such a condition with negative-pressure wound therapy (NPWT) in a 70-year-old man which benefited from extra-anatomic prosthetic axillofemoral bypass. After a week of treatment, the fistula dried up and closure was obtained with simple suture under local anaesthesia. Follow-up at 9 months showed stable coverage without any sign of leakage.
DISCUSSION: This study depicts NPWT as an effective non-invasive treatment in the management of groin lymphocutaneous fistula.
Disciplines :
Surgery
Author, co-author :
Lemaire, V; Department of Plastic and Reconstructive Surgery, University of Liège, Liège, Belgium. vlemaire@chu.ulg.ac.be
Brilmaker, J; Department of Plastic and Reconstructive Surgery, University of Liège, Liège, Belgium
Kerzmann, Arnaud ; Centre Hospitalier Universitaire de Liège - CHU > > Service de chirurgie cardio-vasculaire et thoracique ; St. Nikolaus Hospital, Eupen, Belgium
Jacquemin, Denise ; Centre Hospitalier Universitaire de Liège - CHU > > Service de chirurgie plastique et maxillo-faciale
Language :
English
Title :
Treatment of a groin lymphatic fistula with negative pressure wound therapy.
Publication date :
October 2008
Journal title :
European Journal of Vascular and Endovascular Surgery
Roberts J.R., Walters G.K., Zenilman M.E., and Jones C.E. Groin lymphorrhea complicating revascularization involving the femoral vessels. Am J Surg 165 (1993) 341-344
Shermak M.A., Yee K., Wong L., Jones C.E., and Wong J. Surgical management of groin lymphatic complications after arterial bypass surgery. Plast Reconstr Surg 115 (2005) 1954-1962
Greer S.E., Adelman M., Kasabian A., Galiano R.D., Scott R., and Longaker M.T. The use of subatmospheric pressure dressing therapy to close lymphocutaneous fistulas of the groin. Br J Plast Surg 53 (2000) 484-487
Abai B., Zickler R.W., Pappas P.J., Lal B.K., and Padberg Jr. F.T. Lymphorrhea responds to negative pressure wound therapy. J Vasc Surg 45 (2007) 610-613
Dosluoglu H.H., Schimpf D.K., Schultz R., and Cherr G.S. Preservation of infected and exposed vascular grafts using vacuum assisted closure without muscle flap coverage. J Vasc Surg 42 (2005) 989-992
