Complicated case of radical cystectomy – temporary abdominal wall closure with negative pressure therapy
DOI: 10.2259/magyurol.2024.3.weigertt.147
Authors:
Weigert Tamás dr.1, Zsirka-Klein Attila dr.2, Vargha Judit dr.1, Majoros Attila dr.1, Keszthelyi Attila dr.1
1Semmelweis Egyetem, Urológiai Klinika, Budapest (igazgató: Nyirády Péter dr.)
2Semmelweis Egyetem, Sebészeti, Transzplantációs és Gasztroenterológiai Klinika, Budapest (igazgató: Szijártó Attila dr.)
Summary
Introduction: Introduction: Radical cystectomy is an operation with a high rate of postoperative complications. If abdominal compartment syndrome develops, open abdominal management may be required. Modern wound management techniques can significantly accelerate wound healing.
Case report: A 69-year-old man underwent radical cysto-prostatectomy, uretero-ileo-cutaneostomy and reoperations. Because of the risk of abdominal compartment syndrome, we used open abdominal treatment with negative pressure wound therapy. The abdominal wall was closed step by step.
Conclusion: Intestinal oedema due to multiple reoperations after abdominal operations may lead to abdominal compartment syndrome, and open abdominal management may be required. Negative pressure wound therapy can be used to achieve complete abdominal wall closure and prevent further complications.