Treatment of a groin lymphatic fistula with negative pressure wound therapy.

Lemaire, V; Brilmaker, J; Kerzmann, A; Jacquemin, D · Eur J Vasc Endovasc Surg · 2008

case_report · Level V

Where this comes from

Abstract

Groin lymphatic fistulas are a troublesome finding after limb revascularization surgery. Its management represents a difficult task for the clinician. We report our experience in the treatment of such a condition with negative-pressure wound therapy (NPWT) in a 70-year-old man which benefited from extra-anatomic prosthetic axillofemoral bypass. After a week of treatment, the fistula dried up and closure was obtained with simple suture under local anaesthesia. Follow-up at 9 months showed stable coverage without any sign of leakage. This study depicts NPWT as an effective non-invasive treatment in the management of groin lymphocutaneous fistula.

Medical subject headings