scholarly journals Negative pressure wound therapy: an adjuvant to surgical reconstruction of large or difficult skin and soft tissue defects

2011 ◽  
Vol 8 (4) ◽  
pp. 406-411 ◽  
Author(s):  
Dong Lark Lee ◽  
An Young Ryu ◽  
Seung Chul Rhee
Keyword(s):  
Soft Tissue ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Surgical Reconstruction ◽  
Soft Tissue Defects ◽  
Wound Therapy ◽  
Tissue Defects

scholarly journals Negative Pressure Wound Therapy with Surgical Gloves to Repair Soft Tissue Defects in Hands

2015 ◽  
Vol 37 (3) ◽  
pp. 185-190 ◽  
Author(s):  
Teruaki FUJITANI ◽  
Yukichi ZENKE ◽  
Michitaka SHINONE ◽  
Kunitaka MENUKI ◽  
Keizo FUKUMOTO ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Soft Tissue Defects ◽  
Wound Therapy ◽  
Surgical Gloves ◽  
Tissue Defects

Negative Pressure Wound Therapy for Traumatic Soft Tissue Defects

2006 ◽  
Vol 19 (1) ◽  
pp. 67 ◽  
Author(s):  
Keun Bae Lee ◽  
Jin Choi ◽  
Eun Sun Moon ◽  
Taek Rim Yoon ◽  
Keun Young Lim
Keyword(s):  
Soft Tissue ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Soft Tissue Defects ◽  
Wound Therapy ◽  
Tissue Defects

scholarly journals Immediate application of negative pressure wound therapy following lower extremity flap reconstruction in sixteen patients

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Chun-Yu Chen ◽  
Shyh-Ming Kuo ◽  
Yih-Wen Tarng ◽  
Kai-Cheng Lin
Keyword(s):  
Soft Tissue ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Muscle Flap ◽  
Lower Leg ◽  
Tissue Loss ◽  
Soft Tissue Defects ◽  
Wound Therapy ◽  
Flap Coverage ◽  
Tissue Defects

AbstractNegative pressure wound therapy (NPWT) is usually applied in wound management and soft-tissue salvage after the development of complications. However, immediate postoperative application of NPWT over the flap coverage is seldom reported. We evaluate the effectiveness of immediate postoperative application of NPWT following fasciocutaneous or muscle flap coverage for lower leg reconstruction. A retrospective review of patients who underwent either fasciocutaneous or muscle flap coverage of lower leg soft-tissue defects applied with NPWT immediately after surgery was conducted in a level I trauma center. Sixteen patients, with an average age of 51.2 years, were included in the study. Nine patients had trauma-related soft-tissue loss, six had subsequent soft-tissue defects after debridement, and one had burn injury. Two patients had been treated with free anterolateral thigh flaps, 11 with pedicle flaps, and three with muscle flaps. All flaps survived except for those in two patients with venous congestion on postoperative day 1, which needed further debridement and skin grafting. Therefore, the use of immediate incisional NPWT is an alternative for wound care following flap coverage. The U-shaped design allows easy flap observation and temperature check. Furthermore, this method eliminates any concerns of vascular pedicle compression under negative pressure.

scholarly journals Combination of negative pressure wound therapy with open bone grafting for bone and soft tissue defects

2013 ◽  
Vol 8 (2) ◽  
pp. 468-472 ◽  
Author(s):  
KAI DENG ◽  
AI-XI YU ◽  
CHENG-YAN XIA ◽  
ZONG-HUAN LI ◽  
WEI-YANG WANG
Keyword(s):  
Soft Tissue ◽  
Negative Pressure ◽  
Bone Grafting ◽  
Negative Pressure Wound Therapy ◽  
Soft Tissue Defects ◽  
Wound Therapy ◽  
Tissue Defects

659 Non-Burn Etiologies Treated with Autologous Skin Cell Suspension: A Case Series Demonstrating the Efficacy in Complex Wounds

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S195-S195
Author(s):  
Nicole M Kopari ◽  
Yazen Qumsiyeh
Keyword(s):  
Soft Tissue ◽  
Cell Suspension ◽  
Negative Pressure ◽  
Wound Closure ◽  
Negative Pressure Wound Therapy ◽  
Case Series ◽  
Dermal Substitute ◽  
Wound Therapy ◽  
Skin Cell ◽  
Complex Wounds

Abstract Introduction Complex wounds (CW) resulting from necrotizing soft tissue infections (NSTIs) and soft tissue traumatic injuries create unique challenges. Radical debridement is often the first step in management but can result in disfigurement with impaired function and compromised cosmesis. The standard of care at our institution for full-thickness burn injuries of similar complexity is widely meshed autografting with application of autologous skin cell suspension (ASCS). Our study is a case series reviewing outcomes using ASCS for CW from non-burn etiology. Methods A retrospective chart review from March 2019 through July 2020 was performed to evaluate the effectiveness of ASCS and widely meshed autografting in CW. Patients presenting with CW underwent serial excisions of devitalized tissue by acute care and burn surgeons. Dermal substitute utilization for wound preparation was at the discretion of the surgeon. Definitive wound closure was achieved using ASCS in combination with a widely meshed autograft. The wounds were covered with a non-adherent, non-absorbent, small pore primary dressing along with bismuth-impregnated, petroleum-based gauze or negative pressure wound therapy dependent on wound bed contour. Further padding with gauze was applied along with compressive dressing. Results In total, 8 patients with CW were included in this review. The mean age was 58 years (range 27-85) with an equal number of males and females. Wound etiology included NSTI (n=5), degloving injury (n=2), and traumatic amputation (n=1). The average wound size measured 1,300cm2 (range 300-3,000). 50% of the patients were treated with a dermal substitute and negative pressure wound therapy prior to ASCS and autograft placement. 7 of 8 patients received split-thickness skin grafting in the ratio of 3:1 with one patient grafted at a 2:1 expansion. 7 of the 8 patients had >90% wound closure within 8-10 days of ASCS and autograft application. One patient had significant graft failure after removing surgical dressings and autograft in the early post-operative period secondary to dementia. One patient expired during the follow-up period secondary to medical comorbidities. The 6 remaining patients had durable wound closure and acceptable cosmetic outcome. All patients were discharged within 10 days of ASCS application with 4 patients discharging home and 4 patients discharging to an acute inpatient rehabilitation. Conclusions This study is the first case series to review ASCS in combination with widely meshed skin grafts in the management of CW from a non-burn etiology. Durable, timely wound closure and an acceptable cosmetic outcome was achieved in these often-challenging CW.

scholarly journals A META-ANALYSIS OF THE SOFT TISSUE DEFECTS CLASSIFICATION AND JUSTIFICATION OF THE OPTIMAL SURGICAL RECONSTRUCTION METHOD

2021 ◽  
Vol 121 (1) ◽  
pp. 112-123
Author(s):  
Sergiy Tertyshnyi ◽  
Igor Khomenko ◽  
Кostyantyn Gumenyuk ◽  
Sergiy Korol ◽  
Yevgen Tsema ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Meta Analysis ◽  
Surgical Reconstruction ◽  
Reconstruction Method ◽  
Soft Tissue Defects ◽  
Military Conflict ◽  
Preoperative Training ◽  
Defects Classification ◽  
Tissue Defects

During the military conflict in the East of Ukraine, considerable experience in providing medical assistance to wounded and injured with soft tissue defects has been accumulated. Taking into account the considerable diversity of defects of soft tissues on numerous a number of signs, which involves the application in the process of treatment of fundamentally different algorithms of preoperative training, planning of reconstructive intervention and method of surgical reconstruction there was a need to systematize the accumulated knowledge by developing the integral classification of soft tissue defects.

Negative-Pressure Wound Therapy and External Fixation for Infection and Hematoma After Hallux Abducto Valgus Surgery

2007 ◽  
Vol 97 (5) ◽  
pp. 410-414 ◽  
Author(s):  
Edward Ferdinando ◽  
Laura Guerin ◽  
Aluko O. Jervis ◽  
Henrietta Obidigbo
Keyword(s):  
Soft Tissue ◽  
External Fixation ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Early Recognition ◽  
Metatarsophalangeal Joint ◽  
Postoperative Phase ◽  
Soft Tissue Coverage ◽  
Wound Therapy ◽  
First Metatarsophalangeal Joint

Hematoma refers to the collection or extravasation of blood, usually clotted, in a closed tissue space. It is caused by leakage from local vessels damaged by blunt trauma, local injury, or surgical dissection. In the postoperative phase, a hematoma often results in edema, pain, wound dehiscence, infection, and scarring of the surgical wound. We describe a 44-year-old woman who developed severe complications, including hematoma, abscess, failure of internal fixation, and loss of soft-tissue structures, after hallux abducto valgus surgery. Hospitalization was required for infection control, soft-tissue coverage through negative-pressure wound therapy, and first metatarsophalangeal joint stabilization through external fixation. Early recognition of the signs of infection and hematoma can help decrease the incidence of postoperative complications. (J Am Podiatr Med Assoc 97(5): 410–414, 2007)

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