Vacuum assisted healing, leg injury, foot injury, necrotising fasciitis, fracture bones, skin graft, wounds, accidents, plastic surgery India, cosmetic surgery India, Dr Alexander, plastic surgeon, cosmetic surgeon, Cochin, kerala, before and after , medical tourism kochi +

This unfortunate gentleman had a fracture of his leg bones which were fixed with plates and screws. Thereafter he developed necrotising fasciitis and lost a lot of skin and tissue of his leg thereby exposing the screws that were used to fix his broken bones. His general condition was critical with infection, organ failure and sepsis.Therefore he was subjected to critical care specialist care, antibiotics, debridement and dressings. Vacuum assisted healing (VAC) or negative pressure wound therapy (NPWT) was used in his case- this helped to reduce the infection, increase the granulation tissue, reduction of edema, coverage of the exposed screws and faster healing. A flap coverage would have been ideal, but with the presence of sepsis, possible osteomyelitis and organ failure, minimal intervention with maximal results was the answer. Finally the wounds were covered with skin grafts which were taken from the thighs. Indeed, this was a complex case that was greatly facilitated by vacuum assisted healing +