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

IF 1.7 4区医学 Q3 DERMATOLOGY

Advances in Skin & Wound Care Pub Date : 2025-04-01 Epub Date: 2024-12-12 DOI:10.1097/ASW.0000000000000247

Liangzhi Qiu, Xianrong Wu, Xiu Wang

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引用次数: 0

Abstract

Objective: To analyze the characteristics of postoperative wound complications (WCs) in patients following vulvectomy with flap repair and evaluate the efficacy of negative-pressure wound therapy (NPWT) in wound healing.

Methods: This study retrospectively reviewed 17 patients with WCs following vulvectomy with flap repair at a tertiary comprehensive hospital from January 2016 to December 2022. All patients were treated with NPWT, and the wound healing rate, healing time, and NPWT-related complications were observed.

Results: The most common WCs were seroma and lymphorrhea (52.94%; nine cases), followed by wound infection (35.29%, six cases), fat liquefaction (23.53%, four cases), wound dehiscence (17.65%, three cases), and wound ischemia (5.88%, one case). The main locations for flap WCs were the vulva (64.71%), thigh (35.29%), and pubic symphysis (23.53%). One patient halted treatment; the remaining 16 patients all achieved complete healing with a mean healing time of 43.50 ± 17.92 days. One complication was associated with the use of NPWT: procedural pain (17.65%, three cases).

Conclusions: The use of NPWT may contribute to accelerated wound healing after flap repair in vulvar cancer and is safe for clinical application.

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负压创面治疗外阴癌皮瓣修复术后创面并发症的回顾性研究。

目的：分析外阴切除术皮瓣修复术后创面并发症的特点，评价负压创面治疗（NPWT）在创面愈合中的效果。方法：回顾性分析2016年1月至2022年12月某三级综合医院外阴切除术皮瓣修复术后17例WCs患者。所有患者均行NPWT治疗，观察创面愈合率、愈合时间及NPWT相关并发症。结果：最常见的WCs为血清肿和淋巴漏（52.94%）；其次为创面感染（35.29%，6例）、脂肪液化（23.53%，4例）、创面裂开（17.65%，3例）和创面缺血（5.88%，1例）。皮瓣WCs的主要部位为外阴（64.71%）、大腿（35.29%）和耻骨联合（23.53%）。一名患者停止了治疗；其余16例患者均完全愈合，平均愈合时间为43.50±17.92 d。与NPWT使用相关的并发症之一是手术性疼痛（17.65%，3例）。结论：NPWT可促进外阴癌皮瓣修复后创面愈合，临床应用安全。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Skin & Wound Care DERMATOLOGY-NURSING

CiteScore

2.50

自引率

12.50%

发文量

271

审稿时长

>12 weeks

期刊介绍： A peer-reviewed, multidisciplinary journal, Advances in Skin & Wound Care is highly regarded for its unique balance of cutting-edge original research and practical clinical management articles on wounds and other problems of skin integrity. Each issue features CME/CE for physicians and nurses, the first journal in the field to regularly offer continuing education for both disciplines.