Management of a Pelvic Abscess and Abdominal Fistula after Palliative Total Pelvic Exenteration with Intraoperative Radiotherapy in Recurrent Rectal Cancer Without NPWT: A Case Report
| Autor: | Hui Yang, Yuanyi Rui, Hong Chen |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Wound therapy Fistula medicine.medical_treatment Case Report Dermatology wound dressing Pelvic abscess Pelvis Alginate dressing Recurrence medicine Humans intraoperative radiotherapy rectal cancer Recurrent Rectal Cancer Advanced and Specialized Nursing Wound Healing Pelvic exenteration integumentary system Radiotherapy business.industry Rectal Neoplasms pelvic abscess Middle Aged medicine.disease Abscess Hypertonic saline Surgery pelvic exenteration negative-pressure wound therapy business Intraoperative radiotherapy wound care |
| Zdroj: | Advances in Skin & Wound Care |
| ISSN: | 1538-8654 |
| Popis: | A 59-year-old man with recurrent rectal cancer and type 2 diabetes mellitus underwent palliative total pelvic exenteration and intraoperative radiotherapy. After surgery, he experienced a pelvic abscess and abdominal-perineal fistula. Profuse exudate contaminated the midline abdominal incision through the abdominal-perineal fistula and delayed healing. Because of a residual tumor and the high cost, negative-pressure wound therapy was not performed. After 76 days of local treatment that involved removing necrotic tissue, controlling inflammation with an antimicrobial silver dressing, absorbing and draining exudate with a hypertonic saline dressing, promoting granulation and preventing infection with a silver alginate dressing, and promoting re-epithelialization with recombinant human epidermal growth factor gel, the abdominal wound and abdominal-perineal fistula healed successfully. |
| Databáze: | OpenAIRE |
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