Negative pressure wound therapy and skin grafting for necrotizing fasciitis in a patient with rheumatoid arthritis treated with abatacept: A case report

2015 ◽  
Vol 28 (2) ◽  
pp. 358-360 ◽  
Author(s):  
Takeshi Mochizuki ◽  
Katsunori Ikari ◽  
Ryo Hiroshima ◽  
Hiromitsu Takaoka ◽  
Kosei Kawakami ◽  
...  
Author(s):  
JiaJun Tang ◽  
Guilu Tao ◽  
Yingkai Liu ◽  
Xian Ma ◽  
Yakupu Aobuliaximu ◽  
...  

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.


2019 ◽  
Vol 6 (1) ◽  
pp. 5-8
Author(s):  
Attila Enyedi ◽  
Gábor Mudriczki ◽  
Tamás Bazsó ◽  
Ferenc Győry ◽  
Zsolt Susán ◽  
...  

Aims: Necrotizing fasciitis (NF) is a life threatening infection of the subcutaneous tissues that spreads along the underlying  fascia. Despite the early and aggressive surgical fasciotomy and necrosectomy its mortality rate is still high. In NF the negative pressure wound therapy (NPWT) has good effects on wound healing and on the primary closure of the concomitant extended tissue defects. Case report: A 32 year-old male patient was admitted with four-day history of fever (39.1 C⸰), pain, swelling, erythema of the right elbow and upper arm. On admission extensive erythema and swelling were seen on the right forearm, arm and the pectoral region with superficial skin bullas on it. On the basis of the clinical signs, laboratory tests, immediate surgery was indicated. Extended fasciotomy and necrosectomy were performed on the full extremity and pectoral region. Negative pressure wound therapy was started immediately with -120 mmHg of pressure. Antibiotic therapy was also administered. Results: After five cycles of NPWT the patient recovered without the need of any plastic surgical intervention. The functional and aesthetic results were excellent. Conclusion: In case of extended NF of the upper extremity the aggressive surgery and NPWT are safe and effective.


Medicine ◽  
2019 ◽  
Vol 98 (2) ◽  
pp. e13283 ◽  
Author(s):  
Fabiana Martins de Paula ◽  
Edivania Anacleto Pinheiro ◽  
Vanessa Marcon de Oliveira ◽  
Cristiane Munaretto Ferreira ◽  
Maria Tereza Ferreira Duenhas Monreal ◽  
...  

2018 ◽  
Vol 55 (4) ◽  
pp. 603-605 ◽  
Author(s):  
Adelaida Avino ◽  
Cristian Radu Jecan ◽  
Cristina Nicoleta Cozma ◽  
Andra Elena Balcangiu Stroescu ◽  
Daniela Gabriela Balan ◽  
...  

Negative pressure wound therapy is one of the newest methods of treatment used in wound healing. An important role of the system has a foam dressing that connects the wound with the vacuum. In general the sponge used in vacuum assisted therapies is made of polyurethane foam. We present the case of a 51-year-old male patient with a history of deep vein thrombosis (known for about 3 years) diagnosed with necrotizing fasciitis (NF). In this patient, after each step of the surgical treatment (large debridement and skin grafting) negative pressure wound therapy using polyurethane foam was used.


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