International Journal of Surgical Wound Care
Online ISSN : 2435-2128
Original Articles
Application of Negative-pressure Wound Therapy after Radical Excision of Soft Tissue Malignancy
To Obtain a Better Esthetic Result with a Less Invasive Reconstructive Technique
Taku MaedaNaoki MuraoToshihiko HayashiEmi FunayamaMasayuki OsawaKosuke IshikawaYuhei Yamamoto
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2020 Volume 1 Issue 2 Pages 47-52

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Abstract
Background: The applications of negative-pressure wound therapy (NPWT) have been well documented. Nowadays, NPWT can be used to treat extensive tissue loss after complete resection of soft tissue malignancy, such as invasive skin cancer or sarcoma.
Materials and methods: Information on demographics, total days of therapy, complications, recurrence of malignancy, presence of a concave wound, and slough formation was collected from five patients who had been treated with NPWT after resection of invasive skin cancer or sarcoma between April 2018 and March 2019.
Results: The patients comprised three men and two women with a median age of 51.4 (range, 30–70) years. Four patients had sarcoma, and one had deep subcutaneous skin cancer. After treatment with NPWT or NPWT i-d (instillation of saline with a 10-min dwell time, followed by NPWT) for an average of 12.6 (range, 6–28) days, none of the patients had a concave wound or slough, and good granulation tissue covered the tendons and vessels in all cases. No recurrences of malignancy were observed during 12–19 months of follow-up.
Conclusion: NPWT is extremely effective for complicated wounds after surgery for deep cutaneous malignancy and has a favorable esthetic outcome because of accelerated wound healing.
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© Japan Society for Surgical Wound Care 2020
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