Yosuke Niimi, Hiroshi Ito, Hiroyuki Sakurai JPRAS Open

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Presentation transcript:

Negative-pressure wound therapy for fixing full-thickness skin graft on the thumb Yosuke Niimi, Hiroshi Ito, Hiroyuki Sakurai JPRAS Open Volume 18, Pages 22-27 (December 2018) DOI: 10.1016/j.jpra.2018.08.001 Copyright © 2018 The Author(s) Terms and Conditions

Figure 1 Preoperative finding on the right thumb of a 51 year old male. A 35 × 15 mm-skin ulcer on the palmar side was noticed. JPRAS Open 2018 18, 22-27DOI: (10.1016/j.jpra.2018.08.001) Copyright © 2018 The Author(s) Terms and Conditions

Figure 2 Application of a single-use negative-pressure wound therapy system to fix full-thickness skin graft (FTSG). (Inset) After dressing was applied to the FTSG site and the aspiration port was made onto the dorsal side of digit, two polyurethane film dressings were allowed to sandwich both the dorsal and palmar sides of the thumb. After applying the sheets, air between the sheets was aspirated and no air leakage was confirmed. JPRAS Open 2018 18, 22-27DOI: (10.1016/j.jpra.2018.08.001) Copyright © 2018 The Author(s) Terms and Conditions

Figure 3 Situation of the thumb after removing the device at 5 days after surgery. Full-thickness skin graft was observed to be perfectly planted to the thumb without any complications. JPRAS Open 2018 18, 22-27DOI: (10.1016/j.jpra.2018.08.001) Copyright © 2018 The Author(s) Terms and Conditions

Figure 4 At 12 months after skin grafting, the morphology and skin texture were favorable without skin contracture. JPRAS Open 2018 18, 22-27DOI: (10.1016/j.jpra.2018.08.001) Copyright © 2018 The Author(s) Terms and Conditions