Pyoderma gangrenosum secondary to caesarean section treated with negative pressure wound therapy and skin graft

2021 ◽  
Vol 34 (2) ◽  
Author(s):  
Hongmin Luo ◽  
Huining Bian ◽  
Chuanwei Sun ◽  
Shaoyi Zheng ◽  
Bing Xiong ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Pyoderma Gangrenosum ◽  
Skin Graft ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Wound Therapy

scholarly journals Efficacy Of Gauze-based Negative Pressure Wound Therapy After Split-thickness Skin Graft In The Care Of Large Wounds

2018 ◽  
Vol 08 (02) ◽  
pp. 82-86
Author(s):  
Irfan Ilahi ◽  
M. Uzair Ilyas Tahir Kheli ◽  
Ehtesham- ulHaq
Keyword(s):  
Skin Graft ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Cost Effective ◽  
Military Hospital ◽  
Split Thickness Skin Graft ◽  
Wound Therapy ◽  
Thickness Skin ◽  
User Friendly ◽  
Over The Top

Background: Negative-pressure wound therapy (NPWT) or vacuum dressings involve the application of a controlled negative pressure on the wound. Traditionally, STSGs were fixed with bolster technique, where sutures are used to fix pressure dressings over the top of recently placed grafts. Taking it a step further in our study we applied an effective and user friendly filler material (surgical roll gauze) on very large defects. The objective of this study was to assess the clinical efficacy of gauze-based negative pressure wound therapy as an adjunctive therapy to STSG, over complex and very large wounds. Material & Methods: This descriptive study was conducted at Army Burn Center, Combined Military Hospital Kharian and PNS Shifa Hospital Karachi from January 2016 to June 2017. Gauze based VAC system used. Negative pressure was applied at -80 mm Hg. Evaluation was carried out to assess the performance of gauze-based NPWT. Results: Total of 63 patients, 42 males and 21 females, with mean age of 32 years SD+15 were included in the study. The wound size included in the study ranged from 12x10 cm to 88x66 cm. Mean duration of NPWT dressings was 15 days and 313 dressings were employed in total with satisfactory healing achieved in 3 to 4 VAC dressings in most of the cases. Mean duration of hospital stay was 23.92 days at which point graft uptake percentage was in the range of 90% (n=7) to 100% (n=20). Only 3.2% (n=2) cases required partial re-grafting for complete coverage of residual wounds. Conclusion: Gauze-based Negative-pressure wound therapy over split thickness skin graft is a cost-effective addition to the care and management of large and complex wounds

Applying Intravenous Immunoglobulin and Negative-Pressure Wound Therapy to Treat Refractory Pyoderma Gangrenosum: A Case Report

2020 ◽  
pp. 153473462094045
Author(s):  
Shi-Ying Jin ◽  
Mei Chen ◽  
Feng-Yuan Wang ◽  
Fei Wang
Keyword(s):  
Intravenous Immunoglobulin ◽  
Pyoderma Gangrenosum ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Lower Leg ◽  
Neutrophilic Dermatosis ◽  
Wound Therapy ◽  
Systemic Corticosteroids ◽  
Painful Ulcer ◽  
The Right

Pyoderma gangrenosum (PG) is a rare chronic neutrophilic dermatosis that causes undermining ulcers. Unfortunately, standardization of PG treatment remains a challenge. In this article, we describe a case in which a 69-year-old man presented with a painful ulcer on the right lower leg. The diagnosis of PG was made after excluding other diseases. He had a history of PG on his left lower leg 2 years earlier and was cured by the treatment of systemic corticosteroids and cyclosporin A for 43 days. However, such a treatment was not effective this time. Hence, we applied intravenous immunoglobulin and negative-pressure wound therapy, and the patient was cured. Altogether, this case supports the use of intravenous immunoglobulin as an effective adjuvant for refractory PG, and indicates negative-pressure wound therapy as a treatment option to advance ulcer healing under adequate immunosuppression.

scholarly journals Extensive Refractory Perineal Pyoderma Gangrenosum Treated with Infliximab, Fecal Diversion, and Negative-Pressure Wound Therapy

2019 ◽  
Vol 27 (2) ◽  
pp. 128-131 ◽  
Author(s):  
Mafalda Sousa ◽  
Manuel António Campos ◽  
Ana Cristina Sousa ◽  
Jorge Lopes ◽  
Adélia Rodrigues ◽  
...  
Keyword(s):  
Pyoderma Gangrenosum ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Fecal Diversion ◽  
Wound Therapy

Simplified Negative-Pressure Wound Therapy System for Skin Graft Wounds

2012 ◽  
Vol 129 (2) ◽  
pp. 399e-401e ◽  
Author(s):  
Tzong Shiun Li ◽  
Mun Yau Choong ◽  
Hsu Fu Wu ◽  
Kao-Chi Chung
Keyword(s):  
Skin Graft ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Wound Therapy

Ulceration of Pyoderma Gangrenosum Treated with Negative Pressure Wound Therapy

2005 ◽  
Vol 95 (2) ◽  
pp. 171-174 ◽  
Author(s):  
Stephen M. Geller ◽  
James A. Longton
Keyword(s):  
Pyoderma Gangrenosum ◽  
Negative Pressure ◽  
Laboratory Tests ◽  
Negative Pressure Wound Therapy ◽  
Chronic Wounds ◽  
Unknown Etiology ◽  
Imaging Studies ◽  
Wound Therapy ◽  
Normal Limits ◽  
Wound Tissue

Pyoderma gangrenosum is a skin disease characterized by wounds with blue-to-purple undermined borders surrounding purulent necrotic bases. This article reports on a patient with a circumferential, full-thickness, and partially necrotic lower-extremity ulceration of unknown etiology. Results of laboratory tests and arterial and venous imaging studies were found to be within normal limits. The diagnosis of pyoderma gangrenosum was made on the basis of the histologic appearance of the wound tissue after biopsy as a diagnosis of exclusion. Negative pressure wound therapy was undertaken, which saved the patient’s leg from amputation. Although negative pressure wound therapy has demonstrated efficacy in the treatment of chronic wounds in a variety of circumstances, this is the first documented use of this technique to treat an ulceration secondary to pyoderma gangrenosum. (J Am Podiatr Med Assoc 95(2): 171–174, 2005)

scholarly journals Gauze-based negative pressure wound therapy: a valid method to manage pyoderma gangrenosum

2012 ◽  
Vol 11 (2) ◽  
pp. 164-168 ◽  
Author(s):  
Marco Fraccalvieri ◽  
Maria Teresa Fierro ◽  
Marco Salomone ◽  
Paolo Fava ◽  
Enrico M Zingarelli ◽  
...  
Keyword(s):  
Pyoderma Gangrenosum ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Wound Therapy ◽  
Valid Method
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