PMC10028363_01
Inner side patient's right thigh. a Wound upon arrival in the nutrition department: fibrinous edges and necrotic central zone. b Intermediate state after wound trimming, during VAC therapy: diameter of the wound was reduced and substance is regained. c After the skin graft: healthy edges and good epidermalization. VAC, vacuum-assisted closure system.
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F1
While local evolution was initially favorable, the wound subsequently deteriorated with the appearance of phlyctenes and epidermal detachment, followed by central necrosis and 15 cm in diameter-circumferential loss of substance (Fig. 1a). After 1 month of local care and vacuum-assisted closure system treatment (Fig. 1b), an autologous skin graft, taken from the contralateral thigh, was performed by the plastic surgery team. The local evolution was favorable with good graft adhesion (Fig. 1c).