2016 Volume 7 Issue 2 Pages 74-80
Chronic pyoderma is a chronic debilitating skin disease that is characterized by recurrent abscess formation, skin rupturing, scarring, and the formation of draining sinus tracts. In advanced cases, wide local excision of the wound and the contiguous subcutaneous tissue is often necessary. The resultant skin defects tend to be too large and / or contaminated to allow immediate wound closure. Therefore, skin grafting is often necessary to cover the defect. Furthermore, chronic pyoderma most commonly affects the axillary, inguinal, and anogenital regions, and it can be difficult to get skin grafts to take in these regions. In this case study, we discuss a two-stage surgical procedure for the treatment of severe chronic pyoderma. In the first stage, wide local wound excision was performed, and negative pressure wound therapy ( NPWT ) was applied to the soft-tissue defect to prepare the wound bed. In the second stage, a split-thickness skin graft was transplanted to close the wound, and NPWT was applied to support the grafts at the recipient sites. Satisfactory results were achieved in all patients. No instances of recurrence or any other complications were reported.
