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Vacuum‐Assisted Closure in the Treatment of Complex Gynecologic Wound Failures

Argenta, Peter A. MD; Rahaman, Jamal MD; Gretz, Herbert F. III MD; Nezhat, Farr MD; Cohen, Carmel J. MD

Case Reports

BACKGROUND: Complex wound failures are a source of significant morbidity and mortality. They are costly and time consuming to treat, and may evolve into chronic, debilitating conditions. Vacuum‐assisted closure is a novel wound healing technique applying subatmospheric pressure to wounds to expedite healing.

CASES: We report the successful use of vacuum‐assisted closure therapy on three patients on a gynecologic oncology service with complex wound failures of various chronicity. In all cases, vacuum‐assisted closure therapy was well tolerated and demonstrated efficacy within 48 hours of initiation.

CONCLUSION: We conclude that vacuum‐assisted closure therapy should be included in the armamentarium of the gynecologist addressing complex wound failures.

Vacuum‐assisted closure is effective and well tolerated in the management of complex gynecologic wound failures.

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Mount Sinai Medical Center, New York, New York

Address reprint requests to: Peter A. Argenta, MD, Mount Sinai Medical Center, Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, 1 Gustave L Levy Place, Box 1170, New York, NY 10029; E‐mail: peter.argenta@mssm.edu.

Received August 14, 2001. Received in revised form October 22, 2001. Accepted October 25, 2001.

© 2002 The American College of Obstetricians and Gynecologists