Combination Therapy Comprising Intra-wound Continuous Negative Pressure, Irrigation Treatment and Artificial Dermis was Useful for Successfully Salvaging an Exposed Artery after Crushed Forearm Replantation

Abstract

 Replantation was performed for the treatment of rupture and crush injuries on a left forearm that was believed to be a candidate for amputation.
The exposed vessels ruptured following surgery, leading to massive bleeding. However, vein grafting, and combined therapy with intra-wound continuous negative pressure, irrigation treatment was initiated after affixing an artificial dermis on to the exposed vascular graft. A bulbil was formed on the vascular graft, and the injury was successfully treated using local flaps and skin grafting.
This method is therefore considered to be a useful treatment modality when exposed vessels cannot be covered by either local flaps or free flaps.