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Advances in Skin & Wound Care:
doi: 10.1097/01.ASW.0000446863.19183.47
Features: Case Report

Novel Technique for Skin Grafting Parastomal Wounds Using a Negative-Pressure Dressing

Clavijo-Alvarez, Julio A. MD, PhD, MPH

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ABSTRACT: Grafting parastomal wounds remains a challenging procedure because of frequent contamination, difficulty isolating the grafted area from the stoma, and an unfavorable environment for skin graft take. The use of negative-pressure dressings has been shown to improve skin graft take by removing excess fluid between the graft and the wound bed, thereby accelerating engraftment.1 The benefits of negative-pressure dressing around a stoma, however, may be hindered by vacuuming stool into the dressed area. This article reviews a novel approach used for the isolation of a stoma from the parastomal wound area to increase skin graft take in an 82-year-old woman.

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