title: Treatment of Oncological Post-surgical Wound Dehiscence with Autologous Skin Micrografts.
abstract: OBJECTIVE
  The closure of postoperative wounds is essential in order to prevent surgical site infections or wound dehiscence, mainly in oncological patients. We aimed to demonstrate the efficacy of autologous micrografts in the management of wound dehiscence in an oncology patient undergoing decompressive spinal laminectomy.
  
  
  METHODS
  A 57-year-old man with IgG multiple myeloma and medullary plasmocytoma C7-T3, was to undergo decompressive spinal laminectomy and vertebral fixation leading to a wound dehiscence with exposed instrumentation. Autologous micrografts were obtained by Rigenera protocol and directly applied to the dehisced wound. After 60 days of negative pressure wound therapy, we observed reduction of the diameter and depth of wound dehiscence, with a coverage of instrumentation, without complete re-epithelialization, that instead was reached by application of autologous micrografts after 70 days.
  
  
  CONCLUSIONS
  The Rigenera protocol may be the solution for complex wounds in oncological and immune-compromised patients where other treatments are contraindicated.
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Turin, San Giovanni Battista Hospital, Turin, Italy.
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Baglioni
authors.affiliation: Department of Medical Sciences, University of Turin, Turin, Italy letizia.trovato@unito.it.
authors.forename: Letizia
authors.initials: L
authors.lastname: Trovato
authors.affiliation: Unit of Orthopedics and Traumatoly, Santa Croce Hospital, Moncalieri, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Marcarelli
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Turin, San Giovanni Battista Hospital, Turin, Italy.
authors.forename: Ambra
authors.initials: A
authors.lastname: Frenello
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Turin, San Giovanni Battista Hospital, Turin, Italy.
authors.forename: Maria Alessandra
authors.initials: MA
authors.lastname: Bocchiotti
mesh_terms: D006801:Humans; D007796:Laminectomy / Q000009:adverse effects / Q000295:instrumentation; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000473:pathology / Q000601:surgery*; D054843:Negative-Pressure Wound Therapy; D016038:Skin Transplantation / Q000379:methods*; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000628:therapy*; D014182:Transplantation, Autologous / Q000379:methods; D016896:Treatment Outcome
keywords: Dehiscence; Rigenera protocol; autologous micrografts