Use of vacuum-assisted closure in massive puerperal genital hematoma
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Puerperal genital hematomas are rare but life-threatening complications of obstetric emergencies. A pregnant patient(39 weeks) underwent a mediolateral episiotomy during a vaginal delivery. An afterbirth hematoma (approximately20 cm in diameter) was evacuated, but the use of a vacuum-assisted wound closure system was applied after thesutures opened on the 7th postoperative day. On the 10th day of the vacuum-assisted closure (VAC) application, thewound was completely closed. VAC is an alternative treatment modality that can drain an infection and increase theproportion of granulation tissue in humid and irregular surfaces such as the perineum.
Abstract
Puerperal genital hematomas are rare but life-threatening complications of obstetric emergencies. A pregnant patient(39 weeks) underwent a mediolateral episiotomy during a vaginal delivery. An afterbirth hematoma (approximately20 cm in diameter) was evacuated, but the use of a vacuum-assisted wound closure system was applied after thesutures opened on the 7th postoperative day. On the 10th day of the vacuum-assisted closure (VAC) application, thewound was completely closed. VAC is an alternative treatment modality that can drain an infection and increase theproportion of granulation tissue in humid and irregular surfaces such as the perineum.
참고문헌 (9)
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