Abstract
To review the experience (2011 and 2012) of Wound Center of Plastic Surgery Service, Clinics Hospital, Faculty of Medicine, University of São Paulo, with treatment of complex traumatic wounds in the perineal region with the association of negative pressure wound therapy followed by a surgical skin coverage procedure. This was retrospective analysis of ten patients with complex wound in the perineum resulting from trauma assisted by the Department of Plastic Surgery in HC-USP. Negative pressure was used as an alternative for improving local conditions, seeking definitive treatment with skin grafts or flaps. Negative pressure was used to prepare the wound bed. In patients, the mean time of use of negative pressure system was 25.9 days, with dressing changes every 4.6 days. After negative pressure therapy, 11 local flaps were performed in nine patients, with fasciocutaneous anterolateral thigh flap used in four of these. Mean hospital stay was 58.2 days and accompaniment in Plastic Surgery was 40.5 days. The use of negative pressure therapy led to improvement of local wound conditions faster than traditional dressings, without significant complications, proving to be the current best alternative as an adjunct for the treatment of this type of injury, always followed by surgical reconstruction with grafts and flaps.
Highlights
The presence of a wound is the break in continuity of the cutaneous tegument, with disruption of normal dermal structures and functions 1
We present the experience of the Wound Center of the Plastic Surgery Service, Clinics Hospital, Faculty of Medicine, University of São Paulo (HC - USP) for the last two years in the treatment of complex perineal traumatic wounds, by association of negative pressure wound therapy followed by surgical procedure to restore skin coverage
We conducted a retrospective analysis of medical records of patients with complex wounds caused by trauma to the perineum treated between January 2011 to December 2012 in the Department of Plastic Surgery (HC USP)
Summary
The presence of a wound is the break in continuity of the cutaneous tegument, with disruption of normal dermal structures and functions 1. It can be simple when closing just by biological healing, or complex when not. In 2006, Ferreira et al proposed criteria for defining the complex wound 2. These wounds’ resolution present a challenge to the plastic surgeon, as they have characteristics that prevent biological healing and require expert surgical treatment, such as coverage with skin grafts or flaps, whether local or distant. The lesions in soft tissues have varying severity, and when severe, require specialized treatment that keeps patients hospitalized for prolonged periods 3
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call