Melanoma, Skin Cancer, Epidermoid Carcinoma, Neuroendocrine Carcinoma, Lymph Node Metastases
Conditions
Keywords
vacuum assisted closure, PRENEVA, lymph node dissection
Brief summary
In this study, we compared a negative pressure wound therapy, versus a conventional dressing in order to evaluate the most efficient wound therapy closure after axillary and inguinal lymph nodes dissections in the management of metastatic skin tumors. A vacuum assisted closure therapy should prevent these comorbidities.
Detailed description
Lymphorrhoea, lymphedema and lymphocyte are significant and common complications after axillary and inguinal lymph nodes dissections. A vacuum assisted closure therapy should prevent these comorbidities. In this study, we compared PREVENA, a negative pressure wound therapy, versus conventional dressings. We evaluated the wound complications at the seventh day, the thirtieth day and at this end of the first year after surgery. It is a retrospective study of about ninety lymph nodes dissections among with there were seventy times the use of a negative pressure wound therapy, PREVENA.
Interventions
A negative pressure wound closure therapy is used after lymph node dissection
Sponsors
Study design
Eligibility
Inclusion criteria
* major patient affected by a metastatic skin tumors * the primitive skin tumor is either a mélanoma, either squamous cell carcinoma , or a neuroendocrine tumor
Exclusion criteria
* lymph node dissection resumption
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Is there a visible scar disunion ? | between day 1 and day 7, between day 7 and day 30, between day 30 and first year end | Yes if there is a scar opening, no if there isn't |
| Is there lymphorrhoea from the scar ? | between day 1 and day 7, between day 7 and day 30, between day 30 and first year end | Yes if there is lymph coming from the the scar, no if there isn't. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Are there lymphocele punctures ? | between day 1 and day 7, between day 7 and day 30, between day 30 and first year end | Yes if there is any lymphocele puncture, no if there isn't |
| Is there any lymphoedema ? | between day 1 and day 7, between day 7 and day 30, between day 30 and first year end | Yes if there is arm or leg lymphoedema, no if there isn't |
Countries
France