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Vacuum-assisted closure treatment complicated by anasarca.

AbstractThe vacuum-assisted closure system has proven to be effective and safe in the treatment of a variety of wound types. In this case report, we present a rare complication of anasarca due to hypoalbuminemia, which developed during vacuum-assisted closure treatment. The patient was known to suffer from clinically stable congestive heart failure and had not had previous hypoalbuminemia. We emphasize the need for careful monitoring of electrolytes and proteins in compromised patients that have marked wound drainage when they are treated with a negative-pressure apparatus.
AuthorsTal Friedman, Melvyn Westreich, Avshalom Shalom (Affiliation: Department of Plastic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel. mony at netvision.net.il)
JournalAnnals of plastic surgery (Ann Plast Surg) Vol. 55 Issue 4 Pg. 420-1 (Oct 2005) ISSN: 0148-7043 United States
PMID16186711 (Publication Type: Case Reports, Journal Article)
Topics
  • Aged
  • Arthroplasty, Replacement, Knee
  • Edema (etiology, physiopathology)
  • Humans
  • Hypoalbuminemia (complications)
  • Male
  • Occlusive Dressings
  • Postoperative Complications
  • Pressure
  • Suction (methods)
  • Surgical Wound Infection (etiology, therapy)