2021 年 2 巻 3 号 p. 59-63
Based on untreated diabetes, a 69-year-old female patient was hospitalized for necrotizing fasciitis of the right thigh from the lower abdomen. After recovering from shock by antibiotic administration and general care, treatment of the remained ulcer was planned; however, it was judged that treatment with general anesthesia was difficult. Therefore, four gradual postage stamp skin grafts were performed at the bedside in combination with local anesthesia and negative pressure wound therapy. The skin grafts were taken completely, and no notable problems were found after the procedure. Gradual postage stamp skin graft bolstered with negative pressure wound therapy has the advantages of minimal invasion, high rate of graft take, and does not interfere with the main treatment. Although it has some cosmetic disadvantages, it is a useful method, especially for poor general conditions.
