NEGATIVE PRESSURE THERAPY TREATMENT IN ABDOMINAL RETAIL NECROSIS AFTER ABDOMINAL DERMOLIPECTOMY
DOI:
https://doi.org/10.63845/20gpm825Keywords:
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. DOI: https://doi.org/10.1590/0100-69912017001001
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. DOI: https://doi.org/10.1016/j.bjps.2019.11.066
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). DOI: https://doi.org/10.5902/2236583424876
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. DOI: https://doi.org/10.1111/iwj.12739
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. DOI: https://doi.org/10.1111/iwj.13273
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. DOI: https://doi.org/10.1016/j.rboe.2016.10.014
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. DOI: https://doi.org/10.1016/j.jss.2013.05.034
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. DOI: https://doi.org/10.1590/0102-6720201600s10003
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 DOI: https://doi.org/10.17267/2238-2720revbahianaodonto.v3i1.32
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Arquivos Catarinenses de Medicina
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
