Novel technique for skin grafting parastomal wounds using a negative-pressure dressing.
Grafting parastomal wounds remains a challenging procedure because of frequent contamination, difficulty isolating the grafted area from the stoma, and an unfavorable environment for skin graft take. The use of negative-pressure dressings has been shown to improve skin graft take by removing excess fluid between the graft and the wound bed, thereby accelerating engraftment. The benefits of negative-pressure dressing around a stoma, however, may be hindered by vacuuming stool into the dressed area. This article reviews a novel approach used for the isolation of a stoma from the parastomal wound area to increase skin graft take in an 82-year-old woman.
Julio A. Clavijo-Alvarez, MD, PhD, MPH, is a Plastic Surgeon at Aestique Plastic Surgery Associates, Greensburg, Pennsylvania, and a volunteer Assistant Clinical Professor in the Department of Plastic Surgery, University of Pittsburgh, Pennsylvania.
Julio A
JA
Clavijo-Alvarez
D000369:Aged, 80 and over; D000890:Anti-Infective Agents / Q000627:therapeutic use; D003125:Colostomy / Q000009:adverse effects* / Q000379:methods; D003131:Combined Modality Therapy; D003646:Debridement / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D054843:Negative-Pressure Wound Therapy / Q000379:methods*; D018570:Risk Assessment; D012720:Severity of Illness Index; D016038:Skin Transplantation / Q000379:methods*; D013530:Surgical Wound Infection / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
D000890:Anti-Infective Agents