Wound Bed Preparation for Capsulectomy Using a Hydrosurgery System

Yushi Suzuki, Masaki Yazawa, Kazuo Kishi

Research output: Contribution to journalArticle

Abstract

Introduction. Wound bed preparation is necessary for proper wound healing. Case Report. The case of a 75-year-old man with good outcomes after using a hydrosurgery system for capsulectomy is presented. At a 2-month follow-up visit, a fistula measuring 15 cm x 10 cm was found to have developed in the patient's left scapular region after the first wide-excision surgery for soft tissue sarcoma and reconstruction of the defect using a local flap. The wound had fluid collection and a capsule that was then debrided with a hydrosurgery system. Since no infection was detected, closure with a pedicled latissimus dorsi (LD) muscle flap (15 cm x 6 cm) was performed. Due to persistent fluid collection, the LD harvest site had to be drained after discharge (18 days postoperatively); however, in the regions debrided by the hydrosurgery system, the suction drain could be removed early. Conclusions. In the case reported herein, the hydrosurgery system proved beneficial for capsulectomy.

Original languageEnglish
Pages (from-to)E49-E51
JournalWounds
Volume30
Issue number4
Publication statusPublished - 2018 Apr 1

ASJC Scopus subject areas

  • Surgery
  • Medical–Surgical

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