PMC4601951_01
Vacuum dressing is used at one stage of management.
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Vacuum Assisted Closure Therapy (VAC) was used to promote wound healing by removing reactive serous fluid and actively promoting granulation through Negative Pressure Wound Therapy (NPWT) as shown in Fig. 1.
1.5 kg of necrotic wound.
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In surgery, debridement of 1.5 kg (kilogram) of dead necrotic tissue was excised with drainage to the abdominal wall, illustrated in Figs. 2 and 3 Surgical procedure was revisited within 48 h with no further necrotic tissue found with adequate wound excision in Fig. 4.
Flap necrosis.
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In surgery, debridement of 1.5 kg (kilogram) of dead necrotic tissue was excised with drainage to the abdominal wall, illustrated in Figs. 2 and 3 Surgical procedure was revisited within 48 h with no further necrotic tissue found with adequate wound excision in Fig. 4.
Healthy granulation tissue covering the mesh.
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The mesh was secure and covered in healthy granulation tissue in Fig. 5.
Healed wound, the final stage.
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A follow-up report at 2, 4 and 12 weeks following discharge revealed he was clinically well, the wound had healed and there was no evidence of recurrence shown in Fig 6.