Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2025; 13(22): 107325
Published online Aug 6, 2025. doi: 10.12998/wjcc.v13.i22.107325
Negative pressure wound therapy with a fenestrated penrose drain for refractory seroma following ischial flap: A case report
Sungyeon Kim, Hong Bae Jeon, Dong Hee Kang
Sungyeon Kim, Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Cheonan-si 31116, South Korea
Hong Bae Jeon, Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Dankook University College of Medicine, Cheonan 31116, Chungnam, South Korea
Dong Hee Kang, Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Dankook University College of Medicine, Cheonan-si 31116, Chungnam, South Korea
Co-first authors: Sungyeon Kim and Hong Bae Jeon.
Author contributions: Kim S performed literature search and data collection, and wrote the manuscript; Kang DH made critical revisions related to important intellectual content of the manuscript; Jeon HB supervised the whole process of the study; All authors read and approved of the final manuscript.
Supported by Research fund of Dankook University in 2023, No. R202300627.
Informed consent statement: Written informed consent was obtained from the patient for the publication of this report including all clinical images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hong Bae Jeon, MD, PhD, Professor, Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Dankook University College of Medicine, 201 Manghyang-ro, Dongnam-gu, Cheonan 31116, Chungnam, South Korea. jeonhb110@dankook.ac.kr
Received: March 25, 2025
Revised: April 4, 2025
Accepted: April 16, 2025
Published online: August 6, 2025
Processing time: 50 Days and 15.5 Hours
Core Tip

Core Tip: Combining incisional negative pressure wound therapy (NPWT) with a fenestrated Penrose drain promotes wound healing and manages fluid accumulation in dependent areas. In paraplegic patients, the ischial area is particularly susceptible to fecal and urine contamination. This approach protects the ischial region from contamination and reduces the need for frequent dressing changes. The timing and pressure settings for NPWT can be flexibly determined based on flap circulation viability and accompanying procedures such as skin grafts. This report provides a reliable option for managing refractory seromas in cases of complex pressure ulcers.