New York-Presbyterian Hospital, 525 E 68th Street, K707, New York, NY 10065, USA.
J Plast Reconstr Aesthet Surg. 2010 May;63(5):e463-4. doi: 10.1016/j.bjps.2009.07.034. Epub 2009 Aug 15.
A 71-year-old woman, one year following a fleur-de-lis abdominoplasty and incisional hernia repair, presented with two chronic, draining peri-umbilical sinuses. Her immediate postoperative course was complicated by a superficial surgical site infection with central skin breakdown that was treated with vacuum assisted closure (VAC). After the wound had closed completely, two midline sinus tracts developed. A CT scan demonstrated an 8x3x1.6cm thick-walled collection along the anterior abdominal wall containing numerous air bubbles. Surgical debridement revealed a cavity containing an 8x3x1.6cm block of well incorporated VAC foam. With the increasing clinical use of VAC wound therapy, this image serves as an important reminder to include gossypiboma in the differential diagnosis for patients with chronic wound problems who have previously received VAC treatment.
一位 71 岁女性，在接受 fleur-de-lis 式腹部整形术和切口疝修补术后一年，出现了两个慢性、引流性脐周窦道。她的术后早期出现了浅层手术部位感染，伴有中心皮肤破裂，采用真空辅助闭合（VAC）治疗。当伤口完全愈合后，出现了两条中线窦道。CT 扫描显示在前腹壁有一个 8x3x1.6cm 厚壁的积液，其中含有多个气泡。手术清创显示一个空腔，里面有一个 8x3x1.6cm 的大块 VAC 泡沫。随着 VAC 伤口治疗的临床应用越来越多，对于之前接受过 VAC 治疗的慢性伤口问题患者，此图像可作为一个重要的鉴别诊断提示，需考虑是否存在棉絮遗留。
