Stoeckel William T, David Lisa, Levine Edward A, Argenta Anne E, Perrier Nancy D
Surgical Oncology Service, Wake Forest University School of Medicine, Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina 27157, USA.
Breast. 2006 Oct;15(5):610-3. doi: 10.1016/j.breast.2005.11.006. Epub 2006 Jan 27.
Complex breast wounds are a constant problem for surgeons. Wound vacuum-assisted closure therapy (VAC) has been shown to be effective for a variety of complex wounds. Our goal was to evaluate our experience with the (VAC) device in the treatment of open breast wounds. We retrospectively identified 18 patients with complex breast wounds treated with the VAC. We analyzed the data regarding the nature and management of these wounds using the VAC device. Fifteen of 18 patients were treated effectively using the VAC. Two patients required muscle flap coverage. One patient had the VAC dressing discontinued secondary to a denial by an insurance company for VAC in the home setting. VAC therapy is an effective treatment for complex wounds. Specifically, our experience shows it to be effective in the treatment of complex breast wounds. Utilization of VAC therapy should be considered for the management of these challenging wounds.
复杂的乳房伤口对外科医生来说一直是个难题。伤口负压封闭引流治疗（VAC）已被证明对多种复杂伤口有效。我们的目标是评估我们使用VAC设备治疗开放性乳房伤口的经验。我们回顾性地确定了18例接受VAC治疗的复杂乳房伤口患者。我们分析了使用VAC设备治疗这些伤口的性质和处理的数据。18例患者中有15例使用VAC治疗有效。2例患者需要肌皮瓣覆盖。1例患者因保险公司拒绝在家庭环境中使用VAC而停止使用VAC敷料。VAC治疗是治疗复杂伤口的有效方法。具体来说，我们的经验表明它对治疗复杂的乳房伤口有效。对于这些具有挑战性的伤口的处理，应考虑使用VAC治疗。
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