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Negative-pressure wound therapy for fixing full-thickness skin graft on the thumb

Negative-pressure wound therapy (NPWT) is used not only for preparing wound bed but also for fixing the skin graft. However, there is no report describing the use of NPWT after full-thickness skin graft (FTSG) on the digits. Because NPWT causes a leak easily, especially in the digital region, this s...

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Detalles Bibliográficos
Autores principales: Niimi, Yosuke, Ito, Hiroshi, Sakurai, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061535/
https://www.ncbi.nlm.nih.gov/pubmed/32158834
http://dx.doi.org/10.1016/j.jpra.2018.08.001
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author Niimi, Yosuke
Ito, Hiroshi
Sakurai, Hiroyuki
author_facet Niimi, Yosuke
Ito, Hiroshi
Sakurai, Hiroyuki
author_sort Niimi, Yosuke
collection PubMed
description Negative-pressure wound therapy (NPWT) is used not only for preparing wound bed but also for fixing the skin graft. However, there is no report describing the use of NPWT after full-thickness skin graft (FTSG) on the digits. Because NPWT causes a leak easily, especially in the digital region, this study reported a new technique using an NPWT device without leaking and the efficacy of NPWT after FTSG. A 51 year old male had 35 × 15 mm skin ulcer on the palmar side of the right thumb after microsurgical replantation surgery for treating a finger amputation. FTSG was performed as day surgery, and the grafted site was covered with an NPWT device. NPWT was fixed by a “sandwich technique” with two sheets covering both the dorsal and pulp sides of the thumb. The graft was perfectly planted, and the morphology was favorable at 12 months after skin grafting. FTSG with NPWT was considered as a cost efficient and effective treatment for the digit.
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spelling pubmed-70615352020-03-10 Negative-pressure wound therapy for fixing full-thickness skin graft on the thumb Niimi, Yosuke Ito, Hiroshi Sakurai, Hiroyuki JPRAS Open Case Reports and Short Communication Negative-pressure wound therapy (NPWT) is used not only for preparing wound bed but also for fixing the skin graft. However, there is no report describing the use of NPWT after full-thickness skin graft (FTSG) on the digits. Because NPWT causes a leak easily, especially in the digital region, this study reported a new technique using an NPWT device without leaking and the efficacy of NPWT after FTSG. A 51 year old male had 35 × 15 mm skin ulcer on the palmar side of the right thumb after microsurgical replantation surgery for treating a finger amputation. FTSG was performed as day surgery, and the grafted site was covered with an NPWT device. NPWT was fixed by a “sandwich technique” with two sheets covering both the dorsal and pulp sides of the thumb. The graft was perfectly planted, and the morphology was favorable at 12 months after skin grafting. FTSG with NPWT was considered as a cost efficient and effective treatment for the digit. Elsevier 2018-08-23 /pmc/articles/PMC7061535/ /pubmed/32158834 http://dx.doi.org/10.1016/j.jpra.2018.08.001 Text en © 2018 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Reports and Short Communication
Niimi, Yosuke
Ito, Hiroshi
Sakurai, Hiroyuki
Negative-pressure wound therapy for fixing full-thickness skin graft on the thumb
title Negative-pressure wound therapy for fixing full-thickness skin graft on the thumb
title_full Negative-pressure wound therapy for fixing full-thickness skin graft on the thumb
title_fullStr Negative-pressure wound therapy for fixing full-thickness skin graft on the thumb
title_full_unstemmed Negative-pressure wound therapy for fixing full-thickness skin graft on the thumb
title_short Negative-pressure wound therapy for fixing full-thickness skin graft on the thumb
title_sort negative-pressure wound therapy for fixing full-thickness skin graft on the thumb
topic Case Reports and Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061535/
https://www.ncbi.nlm.nih.gov/pubmed/32158834
http://dx.doi.org/10.1016/j.jpra.2018.08.001
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