What does this research mean for the field?

Negative pressure wound therapy (NPWT) followed by delayed skin grafting is an effective staged management strategy for complex postoperative gynecologic wounds in high-risk patients. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.SUPPORTS_CONSENSUS.

What question did this study set out to answer?

To describe the staged management of extensive suprapubic wound dehiscence and tissue necrosis following hysterectomy in a high-risk patient.

August 27, 2026International Wound JournalOpen Access

Staged Management of Extensive Suprapubic Wound Necrosis After Hysterectomy Using Negative Pressure Wound Therapy and Delayed Skin Grafting

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Authors

SRStefano Restaino EFEdoardo Farnè MAMartina Arcieri

Discussion

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Overview

Case report demonstrates successful wound closure using negative pressure therapy and delayed skin grafting in post-hysterectomy necrosis, highlighting the utility of staged multidisciplinary care.

Key Points

To describe the staged management of extensive suprapubic wound dehiscence and tissue necrosis following hysterectomy in a high-risk patient.
Treated a 58-year-old woman with overweight status and type 2 diabetes presenting with extensive wound necrosis after hysterectomy and bilateral salpingo-oophorectomy for giant uterine leiomyoma.
Performed surgical debridement followed by negative pressure wound therapy (NPWT) with scheduled dressing changes, followed by definitive autologous skin grafting.
NPWT application reduced wound size from approximately 20 cm to 10 cm across 30 days while stimulating robust granulation tissue formation.
Definitive wound closure was successfully achieved through autologous skin grafting after optimizing the wound bed.

Cite This Study

Restaino et al. (2026) studied this question.

synapsesocial.com/papers/6a8fe99e10c91c1e926215d2 https://doi.org/10.1111/iwj.71021

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August 27, 2026International Wound JournalOpen Access

Staged Management of Extensive Suprapubic Wound Necrosis After Hysterectomy Using Negative Pressure Wound Therapy and Delayed Skin Grafting

View Full Paper

Ask AI

Bookmark

Authors

SRStefano Restaino EFEdoardo Farnè MAMartina Arcieri

Discussion

Member takes

Overview

Case report demonstrates successful wound closure using negative pressure therapy and delayed skin grafting in post-hysterectomy necrosis, highlighting the utility of staged multidisciplinary care.

Key Points

To describe the staged management of extensive suprapubic wound dehiscence and tissue necrosis following hysterectomy in a high-risk patient.
Treated a 58-year-old woman with overweight status and type 2 diabetes presenting with extensive wound necrosis after hysterectomy and bilateral salpingo-oophorectomy for giant uterine leiomyoma.
Performed surgical debridement followed by negative pressure wound therapy (NPWT) with scheduled dressing changes, followed by definitive autologous skin grafting.
NPWT application reduced wound size from approximately 20 cm to 10 cm across 30 days while stimulating robust granulation tissue formation.
Definitive wound closure was successfully achieved through autologous skin grafting after optimizing the wound bed.

Cite This Study

Restaino et al. (2026) studied this question.

synapsesocial.com/papers/6a8fe99e10c91c1e926215d2 https://doi.org/10.1111/iwj.71021

Also Consider

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