[Efficacy of Negative Pressure Wound Therapy for Post-Operative Wound Dehiscence after Resection of a Metastatic AbdominalWal lTumor from Cecal Cancer during Chemotherapy with Bevacizumab]

Gan To Kagaku Ryoho. 2019 Oct;46(10):1647-1649.
[Article in Japanese]

Abstract

A 74-year-old man with recurrence of cecal cancer received systemic chemotherapy(CapeOX plus bevacizumab). After the administration of 9 courses, he reported sudden appearance of bloody bowel discharge. Endoscopic examination could not locate the bleeding point. A CT scan indicated that the small intestine was affected by the recurrence of cancer. Therefore, resection of the small intestine was performed after 6 weeks of drug withdrawal. Although direct closure with fascia incision was performed for the repair of wound dehiscence after surgery, re-dehiscence occurred because of paralytic ileus. Wound lavage and nutritional intervention were performed, followed by negative pressure wound therapy. Excellent wound healing was achieved by this therapeutic approach for 3 months.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Wall
  • Aged
  • Bevacizumab / therapeutic use*
  • Cecal Neoplasms* / drug therapy
  • Humans
  • Male
  • Negative-Pressure Wound Therapy*
  • Neoplasm Recurrence, Local
  • Surgical Wound Dehiscence

Substances

  • Bevacizumab