EWMA 2013-Ep434-APPLICATION OF NPWT IN TREATMENT OF DECUBITUSES AT CHILDREN WITH NEURUTROPHIC...
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Transcript of EWMA 2013-Ep434-APPLICATION OF NPWT IN TREATMENT OF DECUBITUSES AT CHILDREN WITH NEURUTROPHIC...
APPLICATION OF NPWT IN TREATMENT OF DECUBITUSES AT CHILDREN WITH
NEURUTROPHIC VIOLATIONS
Moscow Scientific Institute of Pediatrics and Children Surgery Moscow Children Hospital Named by G.N.Speransky
Moscow Russia
Action mechanism of NPWT Creates the closed wet environment for
a wound repairing
Draining of exsudate
NPWT deletes intersticial liquid, promoting decompression of tissue and decreases the hypostasis
Accelerates wound repairing through stimulation of granulation tissue
Improves local blood circulation, lymph flow and transcapillary transport
Stimulation of local angiogenesis
Reduces risk of wound infection
Strengthens mechanical stretching and convergence of wound edges
Indications to application of vacuum therapy in pediatric practice
Traumatic wounds Full-thickness and split grafts Decubituses Burns Infected wounds
Extensive decubitus of waist (а boy,14 years old. Ds: Autotrauma. Heavy spinal trauma)
Wound before NPWT Vacuum therapy (90 mm Hg) 12 days
Wound after 10 days NPWT (90 mm Hg) Full-thickness grafting
Complete recovery of skin - 12th day after grafting
A boy,16 years old. Ds: Autotrauma.
Heavy spinal trauma
Wound before NPWT NPWT (90 mm Hg) 14 days
NPWT (90 mm Hg) 20 days
Wound after 28 days NPWT (90 mm Hg) Full-thickness grafting
Surgery results – 2d day after grafting
A boy, 2 years old. Ds: Autotrauma. Heavy cranial trauma
Wound before NPWT
NPWT (90 mm Hg) 10 days Split-thickness grafting (8th day after surgery)