Devastating complication of negative pressure wound therapy after deep inferior epigastric perforator free flap surgery:A case report
作者机构：Department of Plastic and Reconstructive SurgeryDongGuk University Medical CenterGoYang 10326South Korea
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2023年第11卷第1期
页 面：143-149页
核心收录：
学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学]
主 题：Negative Pressure Wound Therapy Complications Breast reconstruction Deep inferior epigastric artery perforator Free flap Burn injury Case report
摘 要：BACKGROUND Thermal injuries on free transferred or replanted tissues resulting from loss of sensibility are an infrequent *** require immediate and appropriate management before they progress to an irreversible *** negative pressure wound therapy(NPWT)can prevent wound progression by increasing microcirculation,the inappropriate application of NPWT on complicationthreatened transferred and replanted tissues can induce an adverse *** SUMMARY A 48-year-old woman who underwent immediate breast reconstruction with a deep inferior epigastric artery perforator free *** applying a heating pad directly to the flap site,she sustained a deep second to third-degree contact burn over 30%of the transferred flap on postoperative 7 *** the necrotic changes had progressed,we applied an NPWT dressing over the burned area after en-bloc debridement of the transferred tissues on postoperative 21 *** 4 d of NPWT application,the exposed fatty tissues of the flap changed to dry and browncolored necrotic *** further debridement,we noted that the wound gradually reached total necrosis with a collapsed vascular pedicle of deep inferior epigastric *** Although NPWT has been shown to be successful for treating various wound types,the significant risk of NPWT application in short-lasting reconstructed flap wounds after thermal injury should be reminded.
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