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

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

Advances in Skin & Wound Care: June 2014 - Volume 27 - Issue 6 - p 256–258
doi: 10.1097/01.ASW.0000446863.19183.47
Features: Case Report

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.

Julio A. Clavijo-Alvarez, MD, PhD, MPH, is a Plastic Surgeon at Aestique Plastic Surgery Associates, Greensburg, Pennsylvania, and a volunteer Assistant Clinical Professor in the Department of Plastic Surgery, University of Pittsburgh, Pennsylvania.

The author has disclosed that he has no financial relationships related to this article

Submitted March 24, 2013; accepted in revised form June 24, 2013.

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