Treatment of a groin lymphatic fistula with negative pressure wound therapy.
BACKGROUND
Groin lymphatic fistulas are a troublesome finding after limb revascularization surgery. Its management represents a difficult task for the clinician.


METHODS
We report our experience in the treatment of such a condition with negative-pressure wound therapy (NPWT) in a 70-year-old man which benefited from extra-anatomic prosthetic axillofemoral bypass. After a week of treatment, the fistula dried up and closure was obtained with simple suture under local anaesthesia. Follow-up at 9 months showed stable coverage without any sign of leakage.


CONCLUSIONS
This study depicts NPWT as an effective non-invasive treatment in the management of groin lymphocutaneous fistula.
Department of Plastic and Reconstructive Surgery, University of Liège, Liège, Belgium. vlemaire@chu.ulg.ac.be
V
V
Lemaire
J
J
Brilmaker
A
A
Kerzmann
D
D
Jacquemin
D000368:Aged; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D017577:Cutaneous Fistula / Q000628:therapy*; D005263:Femoral Artery / Q000601:surgery; D005402:Fistula / Q000628:therapy*; D006119:Groin; D006801:Humans; D008206:Lymphatic Diseases / Q000628:therapy*; D008297:Male; D054843:Negative-Pressure Wound Therapy