Vacuum-assisted closure in the treatment of seroma after axillary lymph node dissection

Vacuum-assisted closure in the treatment of seroma after axillary lymph node dissection This paper describes a novel approach to the treatment of otherwise refractory seromas by applying vacuum-assisted closure (VAC) to the seroma cavity. Foam is inserted in the cavity thru an incision in the skin, and the VAC is applied with a continuous suction, which presumably makes the open lymph vessels collapse. When the lymphatic output declines, the size of the sponges and hereby the size of the cavity is reduced successively. We present a 74-year-old man with a malignant melanoma suffering from seroma in the axilla after an axillary lymph node dissection. The lymph production decreased after 2 days resulting in closing of the cavity and cure of the seroma. Level of Evidence: Level V, therapeutic study http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Vacuum-assisted closure in the treatment of seroma after axillary lymph node dissection

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Publisher
Springer Journals
Copyright
Copyright © 2016 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-015-1153-7
Publisher site
See Article on Publisher Site

Abstract

This paper describes a novel approach to the treatment of otherwise refractory seromas by applying vacuum-assisted closure (VAC) to the seroma cavity. Foam is inserted in the cavity thru an incision in the skin, and the VAC is applied with a continuous suction, which presumably makes the open lymph vessels collapse. When the lymphatic output declines, the size of the sponges and hereby the size of the cavity is reduced successively. We present a 74-year-old man with a malignant melanoma suffering from seroma in the axilla after an axillary lymph node dissection. The lymph production decreased after 2 days resulting in closing of the cavity and cure of the seroma. Level of Evidence: Level V, therapeutic study

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jun 1, 2016

References

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