Application of Negative Pressure Wound Therapy in Fingertip replantation
Szu-Han Wang, MD; Ching-hsuan Hu, MD
Chang Gung Memorial Hospital, Taoyuan, Taiwan
Background: Fingertip replantation had been a challenging problem for plastic surgeon and various reconstruction replantation methods had been performed to improve the survival rate. In our study, we present a new idea of fingertip replantation to make the better survival rate and reduce the complication of blood loss at the same time.
Patient and Methods: Twenty patients with fingertip injuries undergoing fingertip replantation with assistance of negative pressure wound therapy (NPWT) devices from September, 2014 were enrolled in our study. Survival rate, patient's satisfaction and necessity of blood transfusion was measured for major outcome.
Result: Those cases undergoing fingertip replantation with negative pressure wound therapy devices demonstrated high survival rate and no patient received blood transfusion during the entire treatment course. Besides, all of the patients were satisfied for the outcome of reconstruction with negative pressure wound therapy.
Conclusion: Fingertip replantation with assistance of negative pressure wound therapy (NPWT) is a new idea which can not only make the higher survival rate and better patient's satisfaction, but also reduce the necessity of blood transfusion significantly.
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