scholarly journals Salvage of a mangled limb with Matriderm® augmented split-skin grafting and maggot biodebridement

2021 ◽  
Author(s):  
Maximilian Lempert ◽  
Hans-Christoph Pape ◽  
Gerrolt Jukema
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Negative Pressure Wound Therapy ◽  
Treatment Options ◽  
Skin Grafting ◽  
Soft Tissue Injuries ◽  
Wound Therapy ◽  
Split Skin Grafting ◽  
Split Skin ◽  
Severe Soft Tissue

We present a case of a young woman with a mangled leg, that could be salvaged with a combination of negative pressure wound therapy, Matriderm® augmented split-skin grafting, and maggot biodebridement. The aim of this case report is to outline alternative treatment options in severe soft tissue injuries.

scholarly journals Negative Pressure Wound Therapy: A Pilot Study

2021 ◽  
Author(s):  
Devesh Kumar ◽  
Sachin Upadhyay ◽  
Hashmukh Shantilal Varma ◽  
Darwin Kumar Thakur
Keyword(s):  
Wound Healing ◽  
Pilot Study ◽  
Granulation Tissue ◽  
Negative Pressure Wound Therapy ◽  
Skin Grafting ◽  
P Value ◽  
Wound Therapy ◽  
Impaired Wound Healing ◽  
Split Skin Grafting ◽  
Split Skin

Introduction: Impaired wound healing has a significant socio- economic impact. The introduction of Vacuum Assisted Closure (VAC) has been one of the major breakthroughs in the management of nonhealing wounds owing to its property of granulation tissue formation via effects related to local sub atmospheric pressure and fluid drainage. Aim: To study the efficacy of Negative Pressure Wound Therapy (NPWT) in wound healing. Materials and Methods: A pilot study was performed on 50 patients out of which 41 were males 82% and 9 were females (18%) with chronic non healing wounds of different aetiologies between the age of 15-70 years. Eligible patients were treated with NPWT at two days interval for an average of two dressings. Patients were evaluated after two dressings for appearance of granulation tissue, reduction in wound size and decrease of bacterial load in the wound. Paired t-test and Chi-square tests were used. The p<0.05 was considered significant. Results: The use of NPWT in different types of open wounds, pressure sores, postoperative wounds resulted in reduction of wound size (p-value=0.001), infection rate (p-value=0.001) within a week after two dressings to finally be closed with split skin grafting or secondary suturing. Conclusion: NPWT dressing is a safe, reliable intervention for patients with chronic wounds associated with impaired wound healing, particularly with wounds larger in surface area which requires closure by split skin grafting or musculocutaneous flaps.

scholarly journals Home based negative pressure wound therapy and moist dressing in the treatment of diabetic foot ulcers

2019 ◽  
Vol 6 (12) ◽  
pp. 4303
Author(s):  
Shiraz Basheer ◽  
Naseef Kannanavil ◽  
Sunil Rajendran
Keyword(s):  
Negative Pressure ◽  
Diabetic Foot ◽  
Negative Pressure Wound Therapy ◽  
Skin Grafting ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Wound Therapy ◽  
Diabetic Ulcer ◽  
Home Based ◽  
Split Skin Grafting

Background: Negative pressure wound therapy (NPWT) is a non-invasive wound closure system that uses controlled, localized negative pressure to help heal chronic and acute wounds. The objective of the present study was to compare home based NPWT and moist wound dressing in home care setting with respect to wound healing and time taken for healing among diabetic ulcer patients and the comparison of cost involved for the treatment.Methods: A hospital based prospective observational study where all patients were presented to the Department of Surgery at MES Medical College with diabetic ulcer between 1st January 2016 and 30th March 2017 were included in the study; ulcer size and surface area were measured using vernier calipers and Wagner’s grade between the two groups were evaluated at the time of enrollment.Results: Complete ulcer healing by primary intention was achieved in 86.8% in home based NPWT group vs. 44.3% in conventional moist dressing group. Average duration taken for healing in home based NPWT patient was 3.03 months and in moist dressing group was 4.58 months. Split skin grafting was needed in 2 patients in HB-NPWT group vs. 7 in moist dressing group. 9.3 hospital visits in HB-NPWT group vs 136.8 sessions in moist dressing group.Conclusions: The present study states that NPWT is superior to conventional moist dressing for the management of chronic diabetic foot ulcers. Cost is approximately 1/10th of standard NPWT.

CO2 Laser Debridement and Negative Pressure Wound Therapy With Endoscopic Support for Treatment of Sinus Wound at the Ischial Tuberosity: Case Report

2020 ◽  
pp. 153473462095367
Author(s):  
JiaJun Tang ◽  
Guilu Tao ◽  
Yingkai Liu ◽  
Xian Ma ◽  
Yakupu Aobuliaximu ◽  
...  
Keyword(s):  
Case Report ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Skin Grafting ◽  
Sinus Tract ◽  
Ischial Tuberosity ◽  
Wound Therapy ◽  
Superficial Wound ◽  
Pressure Injury

The sinus tract of the ischial tuberosity is often caused by pressure injury. It has the characteristics of difficult treatment and high cost, which increases the anxiety of patients and reduces the quality of life of patients. This case report is to describe an effective method to treat sinus wound at the ischial tuberosity. A 53-year-old male suffered pressure ulcer with sinus wound at the left ischial tuberosity due to inadequate walking and sedentary activity. On the basis of pressure relief and immobilization, the patient was treated with CO2 laser debridement and negative pressure wound therapy under endoscope support 3 times, the deep of the sinus wound was completely closed, and then the residual superficial wound was treated by skin grafting. Follow-up of 1 year after healing showed no recurrence of wound.

scholarly journals Recurrent dermatofibrosarcoma protuberans: A Case report and literature review

2020 ◽  
Vol 23 (2) ◽  
pp. 67-69
Author(s):  
Hari Bahadur K C ◽  
Jayan Man Shrestha ◽  
Ishwar Lohani
Keyword(s):  
Case Report ◽  
Skin Grafting ◽  
Dermatofibrosarcoma Protuberans ◽  
Anterior Chest Wall ◽  
Current Treatment ◽  
High Recurrence Rate ◽  
Split Skin Grafting ◽  
Infiltrative Growth Pattern ◽  
Split Skin

Introduction: Dermatofibrosarcoma protuberans is a rare soft tissue tumor which is known for its high recurrence behavior. Adequate excision and regular follow up is the current treatment modality. Case report: 42 years male developed multiple nodular lesions on anterior chest wall for which he underwent surgical therapy for five times, but tumor recurred on every occasion. Wide local excision and split skin grafting was performed with negative margin on histopathology. Conclusion: Dermatofibrosarcoma protuberans has high recurrence rate due to its infiltrative growth pattern. Regular follow up is required after surgery during early post-operative period to detect any recurrences.

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