Here - EWMA 2013

E-POSTER: ACUTE WOUNDS
E-Poster: Acute Wounds
EP 434
APPLICATION OF NPWT IN TREATMENT OF DECUBITUSES AT CHILDREN WITH
NEURUTROPHIC VIOLATIONS
Vera Soshkina 1 , Liudmila Budkevich 1 , Tatiana Astamirova 1
1 Moscow Scientific Institute of Paediatrics and Children Surgery (Moscow, Russia).
Children who have got a heavy spinal trauma, against neurotrophic violations have
extensive decubituses of the weak fabrics.
Aim: To define effectiveness of negative pressure wound therapy (NPWT) in treatment
of decubituses at children with neurotrophic violations in acute phase and after grafting.
Materials and Methods: In Clinic of Moscow Scientific institute of Paediatrics and
Children Surgery since February 2011 applied NPWT in treatment of children with the
heavy traumatic damages of the central nervous system having extensive decubituses
of the skin. Vacuum therapy was used at 17 patients, localization of decubituses – the
bottom extremities, sacrococcygeal area, the extent of defects of the skin exceeded 100
cm 2 . Using of the negative pressure during 10-16 days promoted fast clarification of a
wound from necrotic fabrics and occurence of granulation tissues on wound surface.
That accelerates wound preparation for grafting. After carrying out grafting by split or
full-thickness vacuum therapy was carried out 4 – 7 days and the early postoperative
period. Fast engraftment of transplants, absence regional necrosis of grafts is noted.
Conclusions: Using NPWT in treatment of decubituses at children with neurotrophic
violations allows to reduce terms of restitution of a wholeness of integuments and to
improve postoperative results.
E-Poster: Acute Wounds
WITHDRAWN
EP 435
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
253