Debridement combined with negative-pressure wound therapy and local flap for treating a case of stingray sting
10.3760/cma.j.cn501120-20190714-00298
- VernacularTitle:清创联合负压伤口疗法和局部皮瓣治疗魟鱼刺伤一例
- Author:
Tao JIANG
1
;
Hangqing WU
;
Tong CAO
;
Deheng SONG
;
Jianjun ZHANG
Author Information
1. 徐州市中心医院烧伤整形科 221009
- Keywords:
Negative-pressure wound therapy;
Surgical flaps;
Stingray;
Stinger injuries
- From:
Chinese Journal of Burns
2020;36(9):873-875
- CountryChina
- Language:Chinese
-
Abstract:
On January 10, 2018, a 35-year-old male patient with a 3 day stingray stinger injury in his left thigh was admitted to Xuzhou Central Hospital. At the time of admission, the patient′s left thigh was red, swollen, and painful. On the day of admission, the patient underwent emergency operation in the outpatient operating room for local debridement to remove the infected and necrotic tissue. After the routine dressing change and the wound got better, surgical debridement and negative-pressure wound therapy were performed, and finally local flap was used to repair the wound. On the 14th day after the flap repair operation, the suture was removed and the patient was discharged. After half a year follow-up, the appearance of the operation area recovered well. This case suggests that the timely and correct pre-hospital treatment, thorough and timely debridement, and systemic antibiotic application are important means to reduce further injury of toxin. The local flap can achieve satisfactory result on wound healing after the wound bed is prepared by negative-pressure wound therapy.
