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Negative pressure wound therapy combined with skin grafting improves surgical wound healing in the perianal area
Management of large tissue defects resulting from local wide resection of perianal is a clinical challenge for surgeons. The aim of the present study was to investigate the efficacy of negative pressure wound therapy (NPWT) following skin grafting on perianal surgical wound healing. Included in this...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5008574/ https://www.ncbi.nlm.nih.gov/pubmed/27583890 http://dx.doi.org/10.1097/MD.0000000000004670 |
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author | Jia-zi, Shi Xiao, Zhai Jun-hui, Li Chun-yu, Xue Hong-da, Bi |
author_facet | Jia-zi, Shi Xiao, Zhai Jun-hui, Li Chun-yu, Xue Hong-da, Bi |
author_sort | Jia-zi, Shi |
collection | PubMed |
description | Management of large tissue defects resulting from local wide resection of perianal is a clinical challenge for surgeons. The aim of the present study was to investigate the efficacy of negative pressure wound therapy (NPWT) following skin grafting on perianal surgical wound healing. Included in this study were 12 patients with perianal tumors who received skin grafting after perianal tumor resection between December 2012 and December 2014. A self-designed negative pressure drainage device was then applied to maintain a standard negative pressure at −150 mm Hg and removed on day 8 postoperation. The outcome was recorded immediately after NPWT and at 6-month follow-up. All skin grafts survived without infection, hematoma, and necrosis in all 12 patients. No tumor recurrence was detected during 6-month follow-up. Natural folds were observed around the anus. All patients showed normal bowel movements. NPWT following skin grafting was effective for perianal surgical wound healing and infection prevention, thus benefiting anatomical and functional recovery of the anus. |
format | Online Article Text |
id | pubmed-5008574 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-50085742016-09-10 Negative pressure wound therapy combined with skin grafting improves surgical wound healing in the perianal area Jia-zi, Shi Xiao, Zhai Jun-hui, Li Chun-yu, Xue Hong-da, Bi Medicine (Baltimore) 7100 Management of large tissue defects resulting from local wide resection of perianal is a clinical challenge for surgeons. The aim of the present study was to investigate the efficacy of negative pressure wound therapy (NPWT) following skin grafting on perianal surgical wound healing. Included in this study were 12 patients with perianal tumors who received skin grafting after perianal tumor resection between December 2012 and December 2014. A self-designed negative pressure drainage device was then applied to maintain a standard negative pressure at −150 mm Hg and removed on day 8 postoperation. The outcome was recorded immediately after NPWT and at 6-month follow-up. All skin grafts survived without infection, hematoma, and necrosis in all 12 patients. No tumor recurrence was detected during 6-month follow-up. Natural folds were observed around the anus. All patients showed normal bowel movements. NPWT following skin grafting was effective for perianal surgical wound healing and infection prevention, thus benefiting anatomical and functional recovery of the anus. Wolters Kluwer Health 2016-09-02 /pmc/articles/PMC5008574/ /pubmed/27583890 http://dx.doi.org/10.1097/MD.0000000000004670 Text en Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 |
spellingShingle | 7100 Jia-zi, Shi Xiao, Zhai Jun-hui, Li Chun-yu, Xue Hong-da, Bi Negative pressure wound therapy combined with skin grafting improves surgical wound healing in the perianal area |
title | Negative pressure wound therapy combined with skin grafting improves surgical wound healing in the perianal area |
title_full | Negative pressure wound therapy combined with skin grafting improves surgical wound healing in the perianal area |
title_fullStr | Negative pressure wound therapy combined with skin grafting improves surgical wound healing in the perianal area |
title_full_unstemmed | Negative pressure wound therapy combined with skin grafting improves surgical wound healing in the perianal area |
title_short | Negative pressure wound therapy combined with skin grafting improves surgical wound healing in the perianal area |
title_sort | negative pressure wound therapy combined with skin grafting improves surgical wound healing in the perianal area |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5008574/ https://www.ncbi.nlm.nih.gov/pubmed/27583890 http://dx.doi.org/10.1097/MD.0000000000004670 |
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