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. 2020 Nov-Dec;34(6):3511-3517.
doi: 10.21873/invivo.12192.

Negative Pressure Wound Therapy (NPWT) in Groin Wounds After Lymphadenectomy in Vulvar Cancer Patients

Katrin Christine Asciutto  1 , Stefan Acosta  2   3 , Christer Borgfeldt  4
Affiliations

Negative Pressure Wound Therapy (NPWT) in Groin Wounds After Lymphadenectomy in Vulvar Cancer Patients

Katrin Christine Asciutto et al. In Vivo. 2020 Nov-Dec.

Abstract

Background/aim: Vulva cancer surgery is associated with a high level of morbidity mostly due to wound healing disorders in the inguinal region following lymphadenectomy. Our aim is to evaluate the feasibility of negative pressure wound therapy (NPWT) using the PICO™ device in groin wounds after lymphadenectomy.

Patients and methods: The groins of twenty patients who underwent bilateral lymph node dissection were dressed with the PICO™ device. All patients were followed prospectively with clinical controls up to three months postoperatively using a standardized study protocol.

Results: A total of 11 patients (55%) developed a surgical site complication (SSC). One patient suffered from a wound rupture two days after surgery, six a lymphocele and four a surgical site infection. Operation time, blood loss, number of lymph nodes removed, length of hospital-stay and duration of PICO™ treatment did not differ between women with and without SSCs.

Conclusion: NPWT using the PICO™ device seems to be a feasible method to reduce the severity of healing disorders in the groin after lymphadenectomy in vulva cancer patients.

Keywords: NPWT; lymphadenectomy groin; vulvar cancer.

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Conflict of interest statement

All Authors declare no conflicts of interest.

Figures

Figure 1
Figure 1. Tension-free application of the PICO™ device covering the groin incision and the surrounding area in a sentinel patient
See this image and copyright information in PMC

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References

    1. Meltzer-Gunnes CJ, Smastuen MC, Kristensen GB, Trope CG, Lie AK, Vistad I. Vulvar carcinoma in Norway: A 50-year perspective on trends in incidence, treatment and survival. Gynecol Oncol. 2017;145(3):543–548. doi: 10.1016/j.ygyno.2017.03.008. - DOI - PubMed
    1. Schuurman MS, van den Einden LC, Massuger LF, Kiemeney LA, van der Aa MA, de Hullu JA. Trends in incidence and survival of Dutch women with vulvar squamous cell carcinoma. Eur J Cancer. 2013;49(18):3872–3880. doi: 10.1016/j.ejca.2013.08.003. - DOI - PubMed
    1. Hacker NF, Barlow EL. Staging for vulvar cancer. Best Pract Res Clin Obstet Gynaecol. 2015;29(6):802–811. doi: 10.1016/j.bpobgyn.2015.01.004. - DOI - PubMed
    1. Van der Zee AG, Oonk MH, De Hullu JA, Ansink AC, Vergote I, Verheijen RH, Maggioni A, Gaarenstroom KN, Baldwin PJ, Van Dorst E, Van der Velden J, Hermans RH, van der Putten H, Drouin P, Schneider A, Sluiter WJ. Sentinel node dissection is safe in the treatment of early-stage vulvar cancer. J Clin Oncol. 2008;26(6):884–889. doi: 10.1200/JCO.2007.14.0566. - DOI - PubMed
    1. Te Grootenhuis NC, van der Zee AG, van Doorn HC, van der Velden J, Vergote I, Zanagnolo V, Baldwin PJ, Gaarenstroom KN, van Dorst EB, Trum J, Slangen BFM, Runnebaum IB, Tamussino K, Hermans RH, Provencher DM, de Bock GH, de Hullu JA, Oonk MHM. Sentinel nodes in vulvar cancer: Long-term follow-up of the groningen international study on sentinel nodes in vulvar cancer (groinss-v) i. Gynecol Oncol. 2016;140(1):8–14. doi: 10.1016/j.ygyno.2015.09.077. - DOI - PubMed