PMC7648475_01
crush and degloving injury, presentation at admission (A), and after multiple debridement (B-D)
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F1
He presented with blunt abdominal trauma, a crush, and degloving injury to the left buttock, thigh, and perineal regions (Figure 1).
negative pressure wound therapy (NPWT), gauzes on the surface of the wound sealed with transparent adhesive dressings, a tube connects the wound to the wall suction; granulation tissue on the wound after 17 days of (NPWT) (B and C)
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F2
Necrotic tissues, including skin and muscles as the Gluteus Maximus, the Gluteus Medius, the Tensor Fascia Lata, some muscles of the posterior compartment of the left thigh, and part of the Vastus Lateralis were all excised (Figure 2 A). Then, the wound was covered with gauze, sealed with transparent dressings, and connected to a wall suction under a pressure of 200 mmHg (Figure 2 B). A granulation tissue appeared within 17 consecutive days of this therapy (Figure 2 C).
resurfacing of the wound with a split-thickness skin graft (A); near total wound healing 20 days after the skin graft (B and C)
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F3
Acinetobacter baumanii sensitive only to the quinolone family; a split-thickness skin graft was performed to resurface all the raw areas in a one-stage surgery (Figure 3 A). The graft take was 95% (Figure 3 B, C).