NEGATIVE PRESSURE THERAPY TREATMENT IN ABDOMINAL RETAIL NECROSIS AFTER ABDOMINAL DERMOLIPECTOMY
Keywords:
Negative-Pressure Wound Therapy, Necrosis, AbdominoplastyAbstract
Introduction: Negative Pressure Therapy uses an intelligent therapy unit to apply controlled negative pressure (sub-atmospheric) to the wound site. It speeds up the process of repairing and preparing the wound bed for its definitive coverage. Case report: 60-year-old woman submitted to abdominal dermolipectomy. She presented a complex defect due to necrosis of the abdominal flap. After hospital discharge, during outpatient follow-up she presented worsening necrosis, being referred to the plastic surgery service at a university hospital, where she was treated with surgical debridement and Negative Pressure Therapy (TPN). After three sessions of TPN, she underwent reconstruction to close the abdominal wall defect. She was discharged from the hospital without complications and wound closure under favorable conditions. Conclusion: Treatment with TPN dressing accelerated tissue repair, reduced hospital stay days and, consequently, the risks of infectious processes.
References
Regan JP, Casaubon JT. Abdominoplastia. [Atualizado em 31 de julho de 2020]. In: StatPearls [Internet]. Treasure Island (FL): StatePearls Publishing; Janeiro de 2020. • Lima RVKS, Coltro PS, Júnior JAF. Negative pressure therapy for the treatment of complex wounds. Revista do Colégio Brasileiro de Cirurgiões. 2017;44(1):81–93.
Ho W, Jones CD, Pitt E, Hallam M-J. Meta-analysis on the comparative efficacy of drains, progressive tension sutures and subscarpal fat preservation in reducing complications of abdominoplasty. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2020;73(5):828–40.
Gemperli R, Mendes RRDS. Complicações em abdominoplastia. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery. 2019;34(2):53–6. • Silva RPD, Pinto PIDP, Alencar AMCD. Efeitos da hospitalização prolongada: o impacto da internação na vida paciente e seus cuidadores. Saúde (Santa Maria). 2018;3(44).
Limongelli P, Casalino G, Tolone S, Brusciano L, Docimo G, Genio GD, et al. Quality of life and scar evolution after negative pressure or conventional therapy for wound dehiscence following post-bariatric abdominoplasty. International Wound Journal. 2017;14(6):960–6.
Fang CL, Changchien CH, Chen MS, Hsu CH, Tsai CB. Closed incision negative pressure therapy following abdominoplasty after breast reconstruction with deep inferior epigastric perforator flaps. International Wound Journal. 2019;17(2):326–31.
Jones DDA, Filho WVN, Guimarães JDS, Castro DDA, Ferracini AM. The use of negative pressure wound therapy in the treatment of infected wounds. Case studies. Revista Brasileira de Ortopedia (English Edition). 2016;51(6):646–51.
Krpata DM, Criss CN, Gao Y, Sadava EE, Anderson JM, Novitsky YW, et al. Effects of weight reduction surgery on the abdominal wall fascial wound healing process. Journal of Surgical Research. 2013;184(1):78–83.
Grossi JVM, Nicola FF, Zepeda IA, Becker M, Trindade EN, Diemen VV, et al. Linea Alba Collagen Assessment In Morbidly Obese Patients. ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo). 2016;29(suppl 1):8–11.
Achy de Afonseca M, Reis de Almeida R, Regina de Almeida Reis S, Ribeiro Alves Peixoto Medrado A. Repercussão de Doenças Sistêmicas no Reparo Tecidual. Revista Bahiana de Odontologia (Salvador). 2012; 3 (1): 63- 75
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