Monroy-Martín YF , Orozco-Villaseñor H , Aguirre-Jáuregui Ó, Rodríguez-Franco E , Guzmán-Montes de Oca RA , Acosta-Real JD , Zúñiga-Gordillo R , Sánchez-Álvarez O

Language: Spanish
References: 19
Page: 97-104
PDF size: 947.59 Kb.

ABSTRACT

Introduction: In pediatric surgery, there are surgical/traumatic conditions that can create large wounds, these being of difficult closure require technologies like the negative-pressure therapy (NPT) for their assisted closure. The objective of the study is to present our experience with the treatment of wounds with NPT on children.
Material and methods: In a prospective manner, from February of 2011 to October of 2012 were included children under 15 years of age who required the use of NPT for the closure of the wounds. The data collected included cause, location and size, duration of the application of NPT, time of wound granulation, complications and the mechanism of final closure of the wound.
Results: A total of 6 patients received NPT, with a range of 3 to 14 years, the cause of the wound on all 3 were post-surgical and secondary to trauma. The average time of application of the NPT was 10 days (range7-45 days), with the appearance of granulation tissue on the 7th day on average (range4-10 days). There was no significant complications. The definite closure of the wound was achieved through the second intention mechanism on post-surgical patients and with the placement of a skin graft on the post-traumatic. There was an interval between the starting of the NPT and the placement of the graft of 18 days on average (range 13-24 days)
Conclusion: The NPT for the closure of the post-surgical or traumatic wounds on kids has offered a high quality of results with the covering of the defect . With the granulation and vascularized thick tissue the second intention closure was possible on the first ones, and the placement of skin grafts of split-thickness with a good integration on the second ones.

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