A Novel Concept for Treating Large Necrotizing Fasciitis Wounds With Bilayer Dermal Matrix, Split-thickness Skin Grafts, and Negative Pressure Wound Therapy.

Autor: Danielsson PA, Fredriksson C, Huss FR; Department of Plastic, Hand, and Burn Surgery, University Hospital of Linkoping, Sweden; Email: Fredrik.huss@lio.se.
Jazyk: angličtina
Zdroj: Wounds : a compendium of clinical research and practice [Wounds] 2009 Aug; Vol. 21 (8), pp. 215-20.
Abstrakt: Treatment of necrotizing fasciitis (NF) includes radical surgical debridement often resulting in large wounds that need to be closed with methods including split-thickness skin grafts (STSG), local flaps, or guided tissue regeneration procedures. In this case report, a 45 year-old Caucasian male was surgically treated for a benign left groin hernia, developed NF, and was transferred to the authors' burn unit. The wound was treated initially with wide debridement and with a brief delay before finally closing the wound. A collagen matrix such as Integra® Dermal Regeneration Template (Integra LifeSciences, Plainsboro, NJ) in combination with STSG and negative pressure wound treatment, can provide fast recovery resulting in pliable, functional skin..
Databáze: MEDLINE