PMC3162983_01
Post-saphenectomy wound complication before debridement: Infected hematoma and complete dehiscence of the cutaneous suture line.
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This was not amenable to conservative therapy, so a graded approach to further treatment was employed (Figure 1).
Wound appearance after extensive debridement, at the upper wound pole, the gastrocnemius muscle is exposed.
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Appearance after 3 weeks of treatment with a vacuum dressing, intermittent suction of 75 mm Hg: Clean, well-granulated wound surfaces are evident, and the muscle is completely covered with granulation tissue.
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After a large portion of the wound had developed granulation tissue, we carried out further VAC wound care with white foam to achieve further filling in of the defect and until wound sterility was achieved (Figure 3). 
Wound appearance 7 days after split-thickness skin grafts and treatment with a light vacuum dressing to stabilize the skin grafts. A cosmetically acceptable result has been achieved, without functional limitations.
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