Hepatic inflammatory pseudotumor: a difficult preoperative diagnosis in an oncological patient.

application of pressure for 2 min at 125 mmHg and 3-min periods of antibiotic irrigation through the suction tube. Topical antibiotic therapy is controversial, although it is already being applied in many surgical specialties. The combination of NPWT and irrigation with antibiotics has been described sporadically in the literature. However, it has started to be used in abdominal surgery, and several published reports, such as the D’Hondt et al. case, provide encouraging results. The use of this technique could be indicated in abdominal compartment syndrome, postoperative wound suture dehiscence or wall defects secondary to necrotizing fascitis. Our team believes that NPWT with the instillation of antibiotics could be indicated in patients with persisting bacterial contamination in spite of adequate systemic antibiotic therapy. The optimal antibiotics, dosage, and time to initiate instillation will undoubtedly be researched intensively in the near future.