A Complication of Management of Closed Incision with Negative-Pressure Wound Therapy.

Negative-pressure wound therapy is routinely utilized in plastic surgery for the treatment of open wounds. However, a newer system, known as closed-incision management (CIM), may minimize the likelihood of open wounds. CIM is designed for use after primary surgical skin closure. Many studies of the effects of CIM in various surgical disciplines have been published. The main features of CIM are increased perfusion, maintenance of a closed-wound environment, reduced seroma/hematoma incidence, and reduced tension of skin edges. CIM appeals to some plastic surgeons because of these advantages. However, to date, no publication has addressed the complications of CIM. We usually apply Steri-Strips (3 M, St. Paul, MN) after aesthetic surgery procedures, and their cost is nominal (approximately $4 per package). CIM is rarely utilized in our clinic because of its high cost (approximately $800). Moreover, we have observed superficial skin necrosis with CIM. In the present report, we emphasise the risk of this complication associated with CIM.