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Obstetrics & Gynecology:
Case Reports

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

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Abstract

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.

© 2002 The American College of Obstetricians and Gynecologists

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