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Hypergranulation over a meshed split-thickness skin graft, a complication of negative-pressure wound therapy: a case report

BACKGROUND: We present a case of a rare complication of negative-pressure wound therapy (NPWT) wherein there was fixation of a meshed split-thickness skin graft (STSG), suspected as a failure by hypergranulation. However, the meshed STSG was integrated within 5 days of NPWT cessation. CASE PRESENTAT...

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Autores principales: Shiba, Masato, Doi, Tomoaki, Okada, Hideshi, Kamidani, Ryo, Yoshimura, Genki, Kusuzawa, Keigo, Yamaji, Fuminori, Miura, Tomotaka, Oiwa, Hideaki, Mizuno, Yosuke, Yasuda, Ryu, Fukuta, Tetsuya, Kitagawa, Yuichiro, Miyake, Takahito, Yoshida, Takahiro, Yoshida, Shozo, Ogura, Shinji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9426228/
https://www.ncbi.nlm.nih.gov/pubmed/36042464
http://dx.doi.org/10.1186/s13256-022-03521-5
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author Shiba, Masato
Doi, Tomoaki
Okada, Hideshi
Kamidani, Ryo
Yoshimura, Genki
Kusuzawa, Keigo
Yamaji, Fuminori
Miura, Tomotaka
Oiwa, Hideaki
Mizuno, Yosuke
Yasuda, Ryu
Fukuta, Tetsuya
Kitagawa, Yuichiro
Miyake, Takahito
Yoshida, Takahiro
Yoshida, Shozo
Ogura, Shinji
author_facet Shiba, Masato
Doi, Tomoaki
Okada, Hideshi
Kamidani, Ryo
Yoshimura, Genki
Kusuzawa, Keigo
Yamaji, Fuminori
Miura, Tomotaka
Oiwa, Hideaki
Mizuno, Yosuke
Yasuda, Ryu
Fukuta, Tetsuya
Kitagawa, Yuichiro
Miyake, Takahito
Yoshida, Takahiro
Yoshida, Shozo
Ogura, Shinji
author_sort Shiba, Masato
collection PubMed
description BACKGROUND: We present a case of a rare complication of negative-pressure wound therapy (NPWT) wherein there was fixation of a meshed split-thickness skin graft (STSG), suspected as a failure by hypergranulation. However, the meshed STSG was integrated within 5 days of NPWT cessation. CASE PRESENTATION: A 22-year-old Asian man sustained 25% total-body-surface-area flame burns. After multiple operations, an ulcer was present on the proximal left thigh. On day 37 after admission, the ulcer was debrided, and an 11/1000-inch (0.28 mm) skin graft was taken from the ipsilateral thigh and meshed, using a 1:1.5 ratio. NPWT was applied to the donor and recipient sites with a continuous negative pressure of 125 mmHg. On day 43, NPWT was discontinued. The skin grafts were not identified on the surface of the granulation tissue. With topical ointment therapy, rapid epithelialization of the ulcer was observed as the granulation tissue regressed. On day 48, the recipient site had completely epithelialized. CONCLUSIONS: The hypergranulation tissue rarely covered the meshed STSGs when the grafts were fixed by NPWT. In that case, immediate debridement should be avoided, and conservative treatment should be initiated.
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spelling pubmed-94262282022-08-31 Hypergranulation over a meshed split-thickness skin graft, a complication of negative-pressure wound therapy: a case report Shiba, Masato Doi, Tomoaki Okada, Hideshi Kamidani, Ryo Yoshimura, Genki Kusuzawa, Keigo Yamaji, Fuminori Miura, Tomotaka Oiwa, Hideaki Mizuno, Yosuke Yasuda, Ryu Fukuta, Tetsuya Kitagawa, Yuichiro Miyake, Takahito Yoshida, Takahiro Yoshida, Shozo Ogura, Shinji J Med Case Rep Case Report BACKGROUND: We present a case of a rare complication of negative-pressure wound therapy (NPWT) wherein there was fixation of a meshed split-thickness skin graft (STSG), suspected as a failure by hypergranulation. However, the meshed STSG was integrated within 5 days of NPWT cessation. CASE PRESENTATION: A 22-year-old Asian man sustained 25% total-body-surface-area flame burns. After multiple operations, an ulcer was present on the proximal left thigh. On day 37 after admission, the ulcer was debrided, and an 11/1000-inch (0.28 mm) skin graft was taken from the ipsilateral thigh and meshed, using a 1:1.5 ratio. NPWT was applied to the donor and recipient sites with a continuous negative pressure of 125 mmHg. On day 43, NPWT was discontinued. The skin grafts were not identified on the surface of the granulation tissue. With topical ointment therapy, rapid epithelialization of the ulcer was observed as the granulation tissue regressed. On day 48, the recipient site had completely epithelialized. CONCLUSIONS: The hypergranulation tissue rarely covered the meshed STSGs when the grafts were fixed by NPWT. In that case, immediate debridement should be avoided, and conservative treatment should be initiated. BioMed Central 2022-08-30 /pmc/articles/PMC9426228/ /pubmed/36042464 http://dx.doi.org/10.1186/s13256-022-03521-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Shiba, Masato
Doi, Tomoaki
Okada, Hideshi
Kamidani, Ryo
Yoshimura, Genki
Kusuzawa, Keigo
Yamaji, Fuminori
Miura, Tomotaka
Oiwa, Hideaki
Mizuno, Yosuke
Yasuda, Ryu
Fukuta, Tetsuya
Kitagawa, Yuichiro
Miyake, Takahito
Yoshida, Takahiro
Yoshida, Shozo
Ogura, Shinji
Hypergranulation over a meshed split-thickness skin graft, a complication of negative-pressure wound therapy: a case report
title Hypergranulation over a meshed split-thickness skin graft, a complication of negative-pressure wound therapy: a case report
title_full Hypergranulation over a meshed split-thickness skin graft, a complication of negative-pressure wound therapy: a case report
title_fullStr Hypergranulation over a meshed split-thickness skin graft, a complication of negative-pressure wound therapy: a case report
title_full_unstemmed Hypergranulation over a meshed split-thickness skin graft, a complication of negative-pressure wound therapy: a case report
title_short Hypergranulation over a meshed split-thickness skin graft, a complication of negative-pressure wound therapy: a case report
title_sort hypergranulation over a meshed split-thickness skin graft, a complication of negative-pressure wound therapy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9426228/
https://www.ncbi.nlm.nih.gov/pubmed/36042464
http://dx.doi.org/10.1186/s13256-022-03521-5
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