2012 年 25 巻 2 号 p. 103-108
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.