Assessing safety of negative-pressure wound therapy over pedicled muscle flaps: A retrospective review of gastrocnemius muscle flap

作者：Lance Samuel; Harrison Lindsey; Orbay Hakan; Boudreault David; Pereira Gavin; Sahar David^*

来源：Journal of Plastic Reconstructive and Aesthetic Surgery, 2016, 69(4): 519-523.

DOI：10.1016/j.bjps.2015.11.010

• Negative pressure wound therapy
• Vacuum-assisted closure
• Gastrocnemius pedicled muscle flap
• Split thickness skin graft

The use of negative-pressure wound therapy (NPWT) for management of open wounds and immobilization of split-thickness skin grafts (STSGs) over wounds has been well described. However, there is a concern for potential compromise of flap viability when NPWT is used for skin grafts over pedicled muscle flaps. We have used NPWT to immobilize STSGs in eight patients who underwent a pedicled gastrocnemius muscle flap operation in our department. We applied a negative pressure of -75 mmHg on the muscle flaps for 5 days postoperatively. All wounds healed successfully, with a 97.5 +/- 5.5% mean STSG uptake. No flap necrosis was observed. In our series, the use of NPWT for fixation of STSGs over pedicled gastrocnemius muscle flap was effective and had no negative impact on flap viability. Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.

• 出版日期2016-4