Abai Babak, Zickler Robert W, Pappas Peter J, Lal Brajesh K, Padberg Frank T
Department of Surgery, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, and Veterans Affairs New Jersey Health Care System, Newark and East Orange, NJ, USA.
J Vasc Surg. 2007 Mar;45(3):610-3. doi: 10.1016/j.jvs.2006.10.043.
Lymphoceles and lymph fistulas are common complications of femoral exposure for vascular procedures. Three patients who required readmission after their vascular interventions were treated with negative pressure wound therapy. Once adequate control of the drainage was obtained, the patients were discharged home with a portable suction unit. The mean time to stop lymph leak was 14 days, and the mean length of hospital stay was 7.3 days. This method of management offers early control of fluid drainage, rapid control of the wound, earlier closure, and the potential for reduced length of stay. Patient acceptance and convenience may be enhanced by outpatient management and return to work in appropriately motivated individuals.
淋巴囊肿和淋巴瘘是血管手术中股部暴露常见的并发症。3例血管介入治疗后需再次入院的患者接受了负压伤口治疗。一旦引流得到充分控制,患者就带着便携式吸引装置出院回家。停止淋巴漏的平均时间为14天,平均住院时间为7.3天。这种管理方法能早期控制液体引流,快速控制伤口,更早实现伤口闭合,并有可能缩短住院时间。门诊管理以及让有适当积极性的患者恢复工作,可能会提高患者的接受度和便利性。