Ostalo
The Role of Negative Pressure Wound Therapy in Patients with Kidney Transplantation
Dean Markić
orcid.org/0000-0001-5696-0850
; Department of Urology, University Hospital Rijeka, Rijeka, Croatia
Marin Marinović
; Department of Surgery, University Hospital Rijeka, Rijeka, Croatia
Stanislav Sotošek
; Department of Urology, University Hospital Rijeka, Rijeka, Croatia
Josip Španjol
; Department of Urology, University Hospital Rijeka, Rijeka, Croatia
Aldo Ivančić
; Department of Surgery, University Hospital Rijeka, Rijeka, Croatia
Anton Maričić
; Department of Urology, University Hospital Rijeka, Rijeka, Croatia
Željko Fučkar
; Department of Urology, University Hospital Rijeka, Rijeka, Croatia
Sažetak
Kidney transplantation is the best treatment modality for patients with end-stage renal disease. Wound healing is
impaired in these patients, and factors such as immunosuppression, older age and comorbidities have a negative impact
on wound healing. Recently, negative pressure wound therapy has become an important wound management technique.
We present two patients with wound healing issues in the early posttransplant period. In both patients, an immunosuppressive
treatment was administered, which included tacrolimus, mycophenolate mophetil and high-dose corticosteroids
with anti-IL-2 induction therapy. Postoperatively, the wounds became infl amed with dehiscence. Negative pressure wound
therapy was successfully applied to aid the wound healing. The treatment duration period was two weeks for one patient
and three weeks for the other. After the treatment period, the wounds were signifi cantly improved and were closed. After
the secondary wound closures, the posttransplant course was uneventful in both patients. Presently, one and three years
after the transplantations, both patients have well functioning kidneys. According to our limited experience, negative
pressure wound therapy is a feasible and effective dehiscence wound treatment following kidney transplantation.
Ključne riječi
negative pressure wound therapy; kidney transplantation; end-stage renal disease; postoperative complication; wound infection
Hrčak ID:
147435
URI
Datum izdavanja:
26.12.2014.
Posjeta: 739 *