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

Yosuke Niimi, Hiroshi Ito, Hiroyuki Sakurai

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)22-27
Number of pages6
JournalJPRAS Open
Volume18
DOIs
StatePublished - Dec 1 2018
Externally publishedYes

Fingerprint

Negative-Pressure Wound Therapy
Thumb
Transplants
Skin
Skin Ulcer
Equipment and Supplies
Skin Transplantation
Replantation
Ambulatory Surgical Procedures
Amputation
Fingers
Costs and Cost Analysis

Keywords

  • Finger
  • FTSG
  • Hand
  • NPWT
  • PICO
  • Reconstruction

ASJC Scopus subject areas

  • Surgery

Cite this

Negative-pressure wound therapy for fixing full-thickness skin graft on the thumb. / Niimi, Yosuke; Ito, Hiroshi; Sakurai, Hiroyuki.

In: JPRAS Open, Vol. 18, 01.12.2018, p. 22-27.

Research output: Contribution to journalArticle

Niimi, Yosuke ; Ito, Hiroshi ; Sakurai, Hiroyuki. / Negative-pressure wound therapy for fixing full-thickness skin graft on the thumb. In: JPRAS Open. 2018 ; Vol. 18. pp. 22-27.
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