|
1
|
Restaino S, Paparcura F, Giorgiutti C, Trojan D, Montagner G, Pengo G, Pividore G, Albanese R, Rampino E, Dogareschi T, Bove T, Titone F, Trovò M, Garganese G, Parodi PC, Scambia G, Driul L, Vizzielli G. Human amniotic membrane for myocutaneous dehiscence after a radical surgical treatment of vulvar cancer: A case report. Front Oncol 2022; 12:1009884. [PMID: 36212440 PMCID: PMC9539543 DOI: 10.3389/fonc.2022.1009884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Accepted: 08/31/2022] [Indexed: 11/13/2022] Open
Abstract
Background The application of the amniotic membrane could have a favourable effect on tissue repair and regeneration. We report the first case of implant of an amniotic membrane in a patient affected by myo-cutaneous dehiscence, after a radical surgical treatment for vulvar cancer. Methods We describe a case of a 74-years-old patient affected by vulvar cancer. After radiotherapy, the patient underwent to an anterior pelvic exenteration with uretero-ileo-cutaneostomy by Wallace, bilateral pelvic lymphadenectomy, omental biopsies, omental flap, bilateral inguinal lymphadenectomy, resection of ulcerated left inguinal lesion, reconstruction with left gracilis muscle flap and locoregional V-Y advancement flap. The patient developed a myo-cutaneous dehiscence. Two months after the surgery, following an accurate curettage of the wound and negative pressure therapy, a patch of human amniotic membrane was implanted. Results The surgical procedure was easy, feasible and did not require long operating room times. No intraoperative or postoperative complications occurred. The results obtained were encouraging with a marked improvement in the surgical wound. Conclusion the use of amniotic membranes was safely and easily performed to promote the healing of complicated surgical wounds.
Collapse
Affiliation(s)
- Stefano Restaino
- Department of Maternal and Child Health, Obstetrics and Gynecology Clinic, University Hospital of Udine, Udine, Italy
| | - Federico Paparcura
- Medical Area Department (Dipartimento di Area Medica, DAME), Università degli Studi di Udine, Udine, Italy
| | - Cristina Giorgiutti
- Medical Area Department (Dipartimento di Area Medica, DAME), Università degli Studi di Udine, Udine, Italy
| | - Diletta Trojan
- Fondazione Banca dei tessuti di Treviso Onlus, Treviso, Italy
| | | | - Giancarlo Pengo
- Surgical Video Production & Multimedia Medical – Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | | | - Roberta Albanese
- Dipartimento di Scienze Chirurgiche, Clinica di Chirurgia Plastica Ricostruttiva, Università degli Studi di Udine, Udine, Italy
| | - Emanuele Rampino
- Dipartimento di Scienze Chirurgiche, Clinica di Chirurgia Plastica Ricostruttiva, Università degli Studi di Udine, Udine, Italy
| | - Teresa Dogareschi
- Department of Anesthesia and Intensive Care, University Hospital of Udine, Udine, Italy
| | - Tiziana Bove
- Medical Area Department (Dipartimento di Area Medica, DAME), Università degli Studi di Udine, Udine, Italy
- Department of Anesthesia and Intensive Care, University Hospital of Udine, Udine, Italy
| | - Francesca Titone
- Radiation Oncology Department, University Hospital of Udine, Udine, Italy
| | - Marco Trovò
- Radiation Oncology Department, University Hospital of Udine, Udine, Italy
| | - Giorgia Garganese
- Gynecology and Breast Care Center, Mater Olbia Hospital, Olbia, Italy
- Dipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, Roma, Italy
| | - Pier Camillo Parodi
- Department of Anesthesia and Intensive Care, University Hospital of Udine, Udine, Italy
| | - Giovanni Scambia
- Dipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, Roma, Italy
- Dipartimento per la salute della Donna e del Bambino e della Salute Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Unità Operativa Complessa Ginecologia Oncologica, Roma, Italy
| | - Lorenza Driul
- Medical Area Department (Dipartimento di Area Medica, DAME), Università degli Studi di Udine, Udine, Italy
- *Correspondence: Lorenza Driul,
| | - Giuseppe Vizzielli
- Medical Area Department (Dipartimento di Area Medica, DAME), Università degli Studi di Udine, Udine, Italy
| |
Collapse
|