Giant VAC in a patient with extensive necrotizing fasciitis.
The authors present a case of an extensive fulminant necrotizing fasciitis of the left flank, thigh, and lower parts of the leg treated with debridement, split-thickness skin grafting, and a giant negative pressure wound dressing covering 0.53 m( 2) or 18% of the body surface. To the authors' knowledge, this is the largest split-thickness grafted body surface successfully treated with negative pressure wound dressing documented in the literature.
Steinstraesser
Lars
L
Department of Plastic Surgery, Burn Center, Hand Center, Sarcoma Reference Center, BG-University-Hospital Bergmannsheil, Ruhr-University Bochum, Germany. lars.steinstraesser@rub.de
Sand
Michael
M
Steinau
Hans-Ulrich
HU
D000328:Adult; D001458:Bandages; D003646:Debridement; D019115:Fasciitis, Necrotizing / Q000601:surgery*; D006801:Humans; D035002:Lower Extremity / Q000382:microbiology; D008297:Male; D054843:Negative-Pressure Wound Therapy / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D014945:Wound Healing