title: Treatment of traumatically cutaneous necrosis of buttocks using vacuum sealing drainage combined with ileostomy.
abstract: OBJECTIVE
  The purpose of this study is to evaluate the surgical technique and review the therapeutic effect of vacuum sealing drainage combined with ileostomy treating patients of traumatically buttock skin necrosis.
  
  
  METHODS
  26 patients with buttock wounds were dressed and 6-12 days later, buttock skin necrosis boundaries were clear and debridement was performed. General surgeons were invited to perform the ileostomy. Thorough debridement was conducted and vacuum sealing drainage (VSD) devices were used to cover buttock wounds. Debridement and VSD were operated every 5-7 days until the granulation tissue of buttock wound was fresh. Then epidermal skin graft from thigh was performed to cover the granulation wound. About 3 months later after skin graft survival completely, the ileum was reversed by general surgeons and the patients recovered defecation using anus.
  
  
  RESULTS
  The granulation tissues of all patients were fresh after debridement and VSD 2-3 times. In 20 cases, transplanted epidermal skin grew well. In six cases, necrosis was observed at the margins of the flap and further debridement and skin graft were conducted. During the follow-up period of approximate 6 months, the flaps grew well and the patients defecated normally from anus.
  
  
  CONCLUSIONS
  Treating traumatically cutaneous necrosis of buttocks with vacuum sealing drainage and ileostomy can gain good therapeutic effect.
authors.affiliation: Department of Traumatic Orthopaedics, Yantai Yuhuangding Hospital, Yantai, Shandong, China. shj1022@163.com.
authors.forename: S
authors.initials: S
authors.lastname: Hao
authors.affiliation: Yantai Center for Disease Control and Prevention, Yantai, Shandong, China. suhj78@163.com.
authors.forename: L
authors.initials: L
authors.lastname: Juan
authors.affiliation: Department of Traumatic Orthopaedics, Yantai Yuhuangding Hospital, Yantai, Shandong, China.
authors.forename: W
authors.initials: W
authors.lastname: Xin
mesh_terms: D000328:Adult; D001458:Bandages; D002081:Buttocks / Q000293:injuries*; D003646:Debridement / Q000379:methods*; D004322:Drainage / Q000379:methods; D005260:Female; D050723:Fractures, Bone; D006097:Granulation Tissue; D006801:Humans; D007081:Ileostomy; D008159:Lumbar Vertebrae / Q000293:injuries; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma; D009336:Necrosis / Q000628:therapy; D054843:Negative-Pressure Wound Therapy / Q000379:methods*; D010384:Pelvic Bones / Q000293:injuries; D012867:Skin / Q000473:pathology*; D016038:Skin Transplantation / Q000379:methods*; D017695:Soft Tissue Injuries / Q000628:therapy*; D016103:Spinal Fractures; D014945:Wound Healing; D055815:Young Adult
keywords: Cutaneous necrosis; Ileostomy; Skin transplantation; Vacuum sealing drainage (VSD)