Enhanced Wound Healing of Deep Wound Dehiscence and Fistula in Abdominal Tuberculosis, With Negative Pressure Wound Therapy and Split-Thickness Skin Graft
Summary: Evidence-based case report of 54-year-old man with abdominal TB post-surgery developing deep dehiscence (10×5 cm) and enterocutaneous fistula. NPWT applied twice over 10 days reduced pain, wound size (8×5 cm), promoted granulation, and closed fistula. STSG performed day 16 post-NPWT; 95% healing at 20 days post-graft (5% minor necrosis/infection). Total healing time 46 days. Demonstrates NPWT + STSG efficacy for complex TB-related abdominal wounds, enhancing granulation/fistula closure.
Key Highlights:
- Patient: 54M, abdominal TB, post-op day 7 dehiscence/fistula.
- NPWT: 10 days → fistula closed, granulation, size ↓.
- STSG: Day 16 post-NPWT; 95% take at 20 days.
- Outcomes: Pain ↓, no major complications.
- Authors: Muhammad Farhan, Muhammad Iqbal, Muhammad Asif Rashid et al.
Keywords: NPWT, STSG, abdominal TB, dehiscence, fistula, Muhammad Farhan