Punch grafting for necrotising fasciitis: a case report
Chiara Ceolin1, Marina De Rui1, Francesco Barcaro2
1Geriatrics Division, Department of Medicine (DIMED), University of Padua, Padua, Italy.
Journal of Wound Care
|November 7, 2025
Summary
Autologous punch grafting, a skin treatment, shows promise for healing extensive wounds from necrotising fasciitis. This study highlights its success in an immunocompromised patient, suggesting a valuable alternative for complex skin integrity restoration.
Area of Science:
- Dermatology
- Infectious Diseases
- Surgical Innovation
Background:
- Autologous punch grafting is established for vitiligo, leukoderma, and ulcers.
- Its application in necrotising fasciitis complications remains unexplored.
- Necrotising fasciitis involves full-thickness skin loss, particularly on lower limbs.
Purpose of the Study:
- To evaluate the efficacy of autologous punch grafting in managing necrotising fasciitis-related ulcerations.
- To assess the potential of this technique in immunocompromised patients with complex wound healing needs.
Main Methods:
- Case report of an older male patient with necrotising fasciitis and comorbidities (diabetes, arteriopathy, immunosuppression).
- Involved antibiotic therapy, surgical debridement, followed by autologous punch grafting.
- Treatment duration spanned from April to October 2021.
Main Results:
- Complete restoration of skin integrity was achieved by the end of the treatment period.
- The procedure was technically simple and well-tolerated by the patient.
- Significant improvement in the patient's quality of life was observed.
Conclusions:
- Autologous punch grafting is a viable alternative for extensive ulcerations secondary to necrotising fasciitis.
- This technique offers a promising solution for immunocompromised patients with challenging wound healing.
- The simplicity and effectiveness contribute to improved patient outcomes and quality of life.
