Staged Management of Extensive Suprapubic Wound Necrosis After Hysterectomy Using Negative Pressure Wound Therapy and Delayed Skin Grafting.
Stefano Restaino, Edoardo Farnè, Martina Arcieri et al.
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Case in brief
A 58-year-old woman with overweight and Type 2 diabetes developed extensive suprapubic wound dehiscence and tissue necrosis after a hysterectomy for a giant uterine leiomyoma. Following surgical debridement, negative pressure wound therapy (NPWT) was initiated, leading to significant wound size reduction and granulation tissue formation. Definitive closure was achieved with an autologous skin graft after optimizing the wound bed.
Diagnostic / clinical pearl
Negative pressure wound therapy can effectively manage complex postoperative wounds in high-risk patients, promoting healing and reducing complications.
Why it matters
This case highlights the importance of a multidisciplinary approach in managing extensive wound complications, particularly in patients with comorbidities.