Use of subatmospheric pressure to prevent doxorubicin extravasation ulcers in a swine model.

Abstract:

UNLABELLED:Application of subatmospheric pressure to sites injected with doxorubicin prevented ulcer formation in treated sites (0 ulcers/16 sites) compared to control wounds (10 ulcers/16 sites) in a pig model. BACKGROUND AND OBJECTIVES:Extravasation of doxorubicin hydrochloride (Adriamycin) frequently causes chronic ulcers, which usually progress and expose underlying structures such as tendons and bone. The exact mechanism of action that causes cell death and the chronic ulcers is unknown. METHODS:Eight sites were injected intradermally with doxorubicin on each of 4 pigs. Four sites on each animal served as untreated controls. The remaining four sites were exposed to 125 mm Hg subatmospheric pressure applied 1 h after injection. The sites were observed on a three times per week schedule. Sites that did not develop ulcers were re-injected up to a total of four injections. The animals were observed for 5 weeks. RESULTS:Ten of sixteen control sites developed ulcers. No subatmospheric pressure treated sites developed ulcers. The incidence of ulcer formation was significantly less for treated wounds compared to control wounds at P < 0.001 by Fisher's exact test. CONCLUSIONS:This physical modality appears to successfully prevent ulcer formation after doxorubicin injection.

journal_name

J Surg Oncol

authors

Morykwas MJ,Kennedy A,Argenta JP,Argenta LC

doi

10.1002/(sici)1096-9098(199909)72:1<14::aid-jso4>3

subject

Has Abstract

pub_date

1999-09-01 00:00:00

pages

14-7

issue

1

eissn

0022-4790

issn

1096-9098

pii

10.1002/(SICI)1096-9098(199909)72:1<14::AID-JSO4>3

journal_volume

72

pub_type

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