Fistula Research - Types, Causes, Treatment

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

Lemaire V, Brilmaker J, Kerzmann A, Jacquemin D

Department of Plastic and Reconstructive Surgery, University of Liège, Liège, Belgium. vlemaire@chu.ulg.ac.be

INTRODUCTION: Groin lymphatic fistulas are a troublesome finding after limb revascularization surgery. Its management represents a difficult task for the clinician. REPORT: 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. DISCUSSION: This study depicts NPWT as an effective non-invasive treatment in the management of groin lymphocutaneous fistula.

Published 15 September 2008 in Eur J Vasc Endovasc Surg, 36(4): 449-51.
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