Prophylactic Vac dressing in carcinoma case of gynecology

Abstract

Post-operative complications, such as abdominal dehiscence, are a major challenge in gynecological oncology, particularly in patients undergoing extensive surgeries like total abdominal hysterectomy. This case report describes an 69-year-old female with carcinoma endometrium who underwent total abdominal hysterectomy with rectus closure using Prolene. On the second post-operative day, the patient developed gaseous distension, which progressed to vomiting and increased abdominal distension by day four. Imaging revealed findings suggestive of impending burst abdomen. Emergency re-exploration was performed, and secondary suturing with vacuum-assisted closure (VAC) dressing was applied. The VAC dressing stabilized the wound, promoted granulation tissue formation, and prevented further complications, resulting in successful recovery. This case highlights the potential of VAC dressing not only as a therapeutic intervention but also as a prophylactic measure during primary closure in high-risk surgical patients. Prophylactic VAC dressing may prevent post-operative wound dehiscence, reducing morbidity and improving outcomes in gynecological oncology surgeries. Further studies are needed to evaluate its routine application in similar cases.