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Case report
Use of negative-pressure wound therapy and split-thickness skin autograft to cover an exposed renal transplant
  1. Victoria Elizabeth McKinnon1,
  2. Jouseph Barkho2 and
  3. Mark H McRae2
  1. 1 Michael G DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada
  2. 2 Department of Surgery, McMaster University, Hamilton, Ontario, Canada
  1. Correspondence to Dr Mark H McRae, markhmcrae{at}


Exposure of a renal transplant through the abdominal wall is a rare event. A search of the literature reveals only six documented cases which used skin autograft for coverage, with none reported since 1981, and none which used negative-pressure wound therapy (NPWT) to prepare the recipient bed. This case report demonstrates that NPWT followed by split thickness skin graft is a reconstructive option which is feasible in patients who are at high risk for surgical complications in prolonged flap surgery.

  • plastic and reconstructive surgery
  • renal transplantation
  • transplantation
  • urological surgery
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  • Contributors All authors provided substantial contributions to the conception or design of the work: MHM and JB conceived the idea of creating the case study and VEM acquired the data for writing of the case study. VEM drafted the initial work. JB and MHM revised it critically for important intellectual content. All authors have given final approval of the version published and agree to be accountable for all aspects of the work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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