Weinfeld AB, Kelley P, Yuksel E, Tiwari P, Hsu P, Choo J, Hollier LH, et al.
Annals of plastic surgery. Date of publication 2005 Feb 1;volume 54(2):178-83.
1. Ann Plast Surg. 2005 Feb;54(2):178-83.
Circumferential negative-pressure dressing (VAC) to bolster skin grafts in the
reconstruction of the penile shaft and scrotum.
Weinfeld AB(1), Kelley P, Yuksel E, Tiwari P, Hsu P, Choo J, Hollier LH.
Author information:
(1)Frank Gerow Critical Wound Unit, Ben Taub General Hospital, Houston, TX, USA.
This paper presents 4 consecutive cases using negative-pressure dressings (VAC)
to bolster skin grafts in male genital reconstruction. In this series
reconstruction followed 1 case of tumor ablation and 3 cases of debridement of
abscesses or Fornier's gangrene. The VAC was applied circumferentially to the
penis to secure skin grafts either directly to the penile shaft or to facilitate
skin grafting to the scrotum. Graft areas ranged from 75 to 250 cm. All cases
resulted in successful genital wound coverage; minor complications are described.
Three practical points are brought forth. First, the VAC facilitates skin
grafting to the complex contour of male genitalia. Second, the VAC can be applied
circumferentially to the penis without the need for perfusion monitoring or fears
of avascular necrosis. Third, with the use of the VAC, bolster use can likely be
discontinued as early as 72 hours with good graft adherence and survival.
PMID: 15655470 [Indexed for MEDLINE]
