Smuđ-Orehovec Sanda, Mance Marko, Halužan Damir, Vrbanović-Mijatović Vilena, Mijatović Davor
University Hospital Rebro, Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb, Croatia.
University Hospital Rebro, Department of Vascular Surgery, Zagreb, Croatia.
Wounds. 2018 Nov;30(11):E108-E115.
Any alteration or impairment to normal wound healing can result in the development of chronic wounds, which may lead to serious complications such as infection and loss of body fluid and proteins. Primary closure alone may not be sufficient to fulfill the criteria of successful defect reconstruction. Therefore, additional procedures such as skin grafting must be considered as an option.
The case of a 43-year-old woman with diabetes who was admitted to the University Hospital Rebro (Zagreb, Croatia) due to an infected, nonhealing wound on her left foot. Skin grafts combined with negative pressure wound therapy (NPWT) before and after graft application improved wound healing in this patient.
In this patient, the combination of skin grafts with NPWT before and after graft application reduced the comorbidities and complications often seen in the diabetic patient population. Herein, the authors utilized a quicker, cost-efficient, and safer technique of wound closure compared with traditional nonsurgical methods.
正常伤口愈合的任何改变或损害都可能导致慢性伤口的形成，这可能会引发严重并发症，如感染以及体液和蛋白质流失。仅进行一期缝合可能不足以满足成功缺损重建的标准。因此，必须考虑诸如皮肤移植等额外手术作为一种选择。
一名43岁的糖尿病女性因左脚感染且不愈合的伤口入住雷布罗大学医院（克罗地亚萨格勒布）。皮肤移植联合移植前后的负压伤口治疗（NPWT）改善了该患者的伤口愈合情况。
在该患者中，皮肤移植与移植前后的NPWT相结合减少了糖尿病患者群体中常见的合并症和并发症。在此，与传统非手术方法相比，作者采用了一种更快、更具成本效益且更安全的伤口闭合技术。
