Title: Application of vacuum sealing drainage on the defect of large neck neoplasms after surgical procedures
Abstract: Objective To evaluate the efficacy of vacuum sealing drainage(VSD) in the surgical management of large neck neoplasms.Methods Fifteen patients with neck malignancies(treatment group) were treated with radical surgery,and the wounds were applied with VSD.The drainage tubes were connected with vacuum bottle(negative pressure of 6.65-7.98 mmHg) for 72 hours.Then the intermittent negative pressure was used(every 5 minutes with 2 minutes interval).Seven to fourteen days after surgery,VSD was removed.Wounds with good granulation tissue were treated with skin graft surgery;wounds with poor granulation tissue were treated with VSD 1week again,and then skin grafting was operated.The 9 patients of control group were treated with tumor resection and free tissue flap transplantation.Results In treatment group,time of surgery was about 2-4h with 3h at average and the amount of bleeding was 300-800ml with 500ml at average.Time of surgery was about 4-8h with 6h at average and the amount of bleeding was 500-1200ml with 800ml at average in control group.Fifteen patients received a total of 17 cases of sub-VSD wound treatment in treatment group.After the treatment,the growth of wound granulation tissue was good,and the carotid artery and other important organizational structure were completely covered.Skin grafted was applied in 1-3 week after surgery,and healing rate was 94.7%.One skin grafting flap necrosed in control group.Conclusion With the advantages of easy operation,less cross infection,fast healing and good tolerance,VSD is a safe and effective method for large neck neoplasms.
Publication Year: 2011
Publication Date: 2011-01-01
Language: en
Type: article
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