Skip to main content

Advertisement

SpringerLink
Log in

Successful application of vacuum-assisted closure therapy for treatment of mastitis-associated chronic breast wounds

  • General Gynecology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Introduction

Although non-puerperal mastitis is rare and its cause is rather unclear, the number of patients diagnosed with this defect is increasing. In some cases, standard therapy fails and it progresses to a chronic disease. Vacuum-assisted closure (VAC) therapy has shown good results in healing complex wounds.

Patients and methods

The goal of this study was to evaluate our experiences with VAC therapy and to answer the question whether or not should be accepted as an effective treatment in healing chronic wounds caused by non-puerperal mastitis. Retrospectively, we identified five patients with a non-puerperal mastitis chronic wound that was treated using VAC and report on their outcome.

Results

We reached both wound control and closure of the breast wounds in all patients.

Conclusion

According to our findings, the VAC therapy can be considered when managing challenging breast wounds, particularly when other therapeutic options have failed. The role of VAC therapy as a primary therapeutic option has not yet been evaluated.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

References

  1. Noack H (1977) Puerperal mastitis. Fortschr Med 95:1337–1343

    PubMed  CAS  Google Scholar 

  2. Nordeng H, Tufte E, Nylander G (2003) Treatment of mastitis in general practice. Tidsskr Nor Laegeforen 123:3027–3030

    PubMed  Google Scholar 

  3. Spencer JP (2008) Management of mastitis in breastfeeding women. Am Fam Physician 78:727–731

    PubMed  Google Scholar 

  4. Marchant DJ (2002) Inflammation of the breast. Obstet Gynecol Clin North Am 29:89–102

    Article  PubMed  Google Scholar 

  5. Berghof S, Peters F (2008) Die non-puerpurale Mastitis. Senologie 5:27–31

    Google Scholar 

  6. Renner R, Rogalski C, Friedlein H, Simon JC (2006) Vacuum therapy in dermatology: a review. J Dtsch Dermatol Ges 4:468–476

    Article  PubMed  Google Scholar 

  7. Evans D, Land L (2001) Topical negative pressure for treating chronic wounds: a systematic review. Br J Plast Surg 54:238–242

    Article  PubMed  CAS  Google Scholar 

  8. Joseph E, Hamori CA, Bergman S, Roar E, Swann NF, Anastasi GW (2000) A prospective randomized trial of VAC vs standard therapy of chronic nonhealing wounds. Wounds 12:60–67

    Google Scholar 

  9. Stonerock CE, Bynoe RP, Yost MJ, Nottingham JM (2003) Use of a vacuum-assisted device to facilitate abdominal closure. Am Surg 69:1030–1034

    PubMed  Google Scholar 

  10. Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W (1997) Vacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation. Ann Plast Surg 38:553–562

    Article  PubMed  CAS  Google Scholar 

  11. Sames CP (1977) Sealing of wounds with vacuum drainage. Br Med J 2:1223

    Article  PubMed  CAS  Google Scholar 

  12. Fleischmann W, Strecker W, Bombelli M, Kinzl L (1993) Vacuum sealing as treatment of soft tissue damage in open fractures. Unfallchirurg 96:488–492

    PubMed  CAS  Google Scholar 

  13. Zuska JJ, Crile G Jr, Ayres WW (1951) Fistulas of lactifierous ducts. Am J Surg 81:312–317

    Article  PubMed  CAS  Google Scholar 

  14. Schäfer P, Fürrer C, Mermillod B (1988) An association of cigarette smoking with recurrent subareolar breast abscess. Int J Epidemiol 17:810–813

    Article  PubMed  Google Scholar 

  15. Jones SM, Banwell PE, Shakespeare PG (2005) Advances in wound healing: topical negative pressure therapy. J Postgrad Med 81:353–357

    Article  CAS  Google Scholar 

  16. Kendrick AS, Chase CW (2008) Salvage of an infected breast tissue expander with an implant sizer and negative pressure wound management. Plast Reconstr Surg 121:138e–139e

    Article  PubMed  Google Scholar 

  17. Dustagheer S, Tohill M, Khan K (2009) Vacuum-assisted closure dressing as an aid to salvage breast following severe postoperative infection. Breast J 15:214–215

    Article  PubMed  Google Scholar 

  18. Giacalone PL, El Gareh N, Rihaoui S, Giovannini U (2006) Transverse rectus abdominis myocutaneous flap wound-healing complications in breast reconstruction: assisted closure using foam suction dressing. Breast J 12:481–484

    Article  PubMed  Google Scholar 

  19. Liao EC, Breuing KH (2007) Breast mound salvage using vacuum-assisted closure device as bridge to reconstruction with inferolateral AlloDerm hammock. Ann Plast Surg 59:218–224

    Article  PubMed  CAS  Google Scholar 

  20. Stoeckel WT, David L, Levine EA, Argenta AE, Perrier ND (2006) Vacuum-assisted closure for the treatment of complex breast wounds. Breast 15:610–613

    Article  PubMed  Google Scholar 

  21. Dian D, Bodungen V, Himsl I, Drinovac V, Mylonas I, Sommer H, Friese K (2010) Worldwide first experiences with vacuum-assisted closure as alternative treatment method to repair defects of an extended thoracic wall recurrence of breast cancer. Arch Gynecol Obstet 281:927–932

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, University Hospital of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany

    Doerte W. Luedders, Michael K. Bohlmann, Christine Dittmer, Klaus Diedrich & Marc Thill

  2. Department of Obstetrics and Gynaecology, University Hospital Mannheim, University of Heidelberg, 68167, Mannheim, Germany

    Amadeus Hornemann

Authors
  1. Doerte W. Luedders
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Michael K. Bohlmann
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Amadeus Hornemann
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Christine Dittmer
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Klaus Diedrich
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Marc Thill
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Doerte W. Luedders.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Luedders, D.W., Bohlmann, M.K., Hornemann, A. et al. Successful application of vacuum-assisted closure therapy for treatment of mastitis-associated chronic breast wounds. Arch Gynecol Obstet 283, 1357–1362 (2011). https://doi.org/10.1007/s00404-010-1594-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-010-1594-y

Keywords

Search

Navigation