A SUCCESSFUL USE OF OPEN WET-DRESSING THERAPY TO A DERMAL DEFECTIVE WOUND AFTER OPERATION FOR BREAST CANCER-A CASE REPORT-

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  • 乳癌術後皮膚欠損創に対しラップ療法で治癒した１例

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We report a successful use of open wet-dressing therapy to a 13×8cm dermal defective wound after operation for breast cancer in a 55-year-old woman.<br>The patient had a 15×25×5cm cauliflower-like tumor in the left breast and underwent left mastectomy with a diagnosis of breast cancer. As a result, a 13×8cm dermal defective wound with exposure of the 5th rib was left on her chest. We considered that the defect might entail a high risk of wound infection and did not perform immediate free skin drafting. Instead we washed the defective wound with tap water, then applied and continued open dressing using poly vinyliden chloride food lap-film (open wet-dressing therapy) to the wound. Granulation was started on the postoperative day 8 and the granulating wound became flat on the day 17. Epithelialization was started longitudinally on the postoperative day 14 and horizontally on the postoperative day 37, however, it gradually came to be retarded. So external use of steroid was started on the postoperative day 57 with which the epithelialization was identified on the periphery of the ulcer on the next week and thereafter the epithelialization progressed at a speed of 1 cm per week. Almost complete cure of the defective wound was attained in about 2 months.<br>This open wet-dressing therapy appears to be an excellent method which is able to cure such a large dermal defective wound as more than 10cm in diameter.

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