Dackam Sandrine, Furrer Katarzyna, Haug Martin, Lardinois D
Division of Thoracic Surgery, University Hospital Basel, Basel, Switzerland.
Division of Plastic and Hand Surgery, University Hospital Basel, Basel, Switzerland.
J Surg Case Rep. 2015 Dec 16;2015(12):rjv155. doi: 10.1093/jscr/rjv155.
Vacuum-assisted closure (VAC) therapy is a useful tool in the management of a wide spectrum of complex wounds in cardiothoracic surgery. It promotes healing through the application of a controlled and localized negative pressure on porous polyurethane absorbent foams. Known advantages of the VAC therapy are the acceleration of wound healing, stimulation of granulation tissue and reduced tissue edema. Despite its excellent properties, some related complications after and during the therapy have been reported. We report the case of a 47-year-old female with a thoracic wound infection after rib stabilization, managed with open surgery and VAC therapy, which was complicated by a diffuse lymphatic leakage. This is the first case described of diffuse lymphatic leakage followed by partial necrosis of the breast after continuous VAC therapy. We recommend the application of a lower pressure level of this device for complex wounds of the chest wall near the breast.
