Nested graft for chronic ulcer in scar tissue after heroin extravasation in a drug addict
| Autor: | Piergiacomo Calzavara-Pinton, Paola Monari, Anna Venturuzzo, Giulio Gualdi, Ruggero Moro |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Substance-Related Disorders Scar tissue Context (language use) Dermatology Nested graft Chronic ulcer Heroin extravasation Tissue regeneration Pathology and Forensic Medicine Heroin Lesion Cicatrix 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine medicine Humans Adverse effect Pressure Ulcer 030504 nursing Right forearm business.industry Skin Transplantation Middle Aged Extravasation Surgery Chronic Disease Drug addict Wounds and Injuries medicine.symptom 0305 other medical science business medicine.drug |
| Zdroj: | Journal of Tissue Viability. 30:121-123 |
| ISSN: | 0965-206X |
| DOI: | 10.1016/j.jtv.2020.12.001 |
| Popis: | Introduction Nested graft is a surgical technique that allows to manage difficult-to-treat medical conditions such as chronic cutaneous ulcers, thanks to the high efficacy it has in reverting the fibroblasts senescence. Because of its peculiar regenerative property, nested graft is a surgical technique suitable also for the treatment of cutaneous ulcers developing on fibrotic scar tissue. Case report We reported the case of a 45-year-old man, drug-addict, with a large ulcer on the back of the right forearm in the context of scar fibrotic tissue. This lesion resulted from a previous heroin extravasation treated with a dermo-epidermal skin graft, that was accidentally scratched away by mechanical trauma. After several therapeutic failures with topical medications, we decided to treat the ulcer performing a skin graft using the nested graft technique. No adverse events were reported by the patient during or after the surgery. At the clinical evaluation performed three years later the wound was completely healed. Conclusions Nested graft represents a safe and easy-to-use technique that can be successfully used to treat ulcers on scar tissue, ensuring the achievement and the long-term maintenance of optimal resistance and aesthetic results. |
| Databáze: | OpenAIRE |
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