Enhancing full-thickness skin graft take in nipple reconstruction using PICO™ negative pressure therapy: A technical note.

Marco Palmesano, Gabriele Storti, Irene Nunziata, Riccardo Foti, Carlo Cossi, Valerio Cervelli

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Article in JPRAS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Marco PalmesanoDepartment of Plastic Surgery, University of Rome "Tor Vergata", Viale Oxford 81, Rome 00133, Italy.

Gabriele StortiDepartment of Plastic Surgery, University of Rome "Tor Vergata", Viale Oxford 81, Rome 00133, Italy.

Irene NunziataDepartment of Plastic Surgery, University of Rome "Tor Vergata", Viale Oxford 81, Rome 00133, Italy.

Riccardo FotiDepartment of Plastic Surgery, University of Rome "Tor Vergata", Viale Oxford 81, Rome 00133, Italy.

Carlo CossiDepartment of Plastic Surgery, University of Rome "Tor Vergata", Viale Oxford 81, Rome 00133, Italy.

Valerio CervelliDepartment of Plastic Surgery, University of Rome "Tor Vergata", Viale Oxford 81, Rome 00133, Italy.

Funding

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6 · The paper itself

Abstract

Nipple-areola complex (NAC) necrosis remains a challenging complication following nipple-sparing mastectomy, with significant emotional and aesthetic consequences for patients. Full-thickness skin grafting (FTSG) offers a viable reconstructive option in secondary procedures. We report our experience using PICO™ single-use negative pressure wound therapy (NPWT), applied directly over the breast, to enhance graft take in three consecutive cases of nipple reconstruction using groin-derived FTSG. The technique was effective, cost-conscious, and well-tolerated by patients during the recovery period.

Indexed as

Breast reconstructionNipple reconstructionSkin Graft

Identifiers

PMID41321920

DOI10.1016/j.jpra.2025.10.016

PMCPMC12661989

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