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Children VAC wound

Rafik Shalaby, Ibrahim Elsayaad, Omar Alsamahy, Refaat Ibrahem, Adham El-Saied, Maged Ismail, Abdelmoniem Shamseldin, Sameh Shehata, Mohamad Magid
BACKGROUND: Inguinal hernia repair using a percutaneous internal ring suturing technique is an effective alternative technique to conventional laparoscopic hernia repair. It is one of the most commonly used approaches for laparoscopic hernia repair in children. However, most percutaneous techniques have utilized extracorporeal knotting of the suture and burying the knot subcutaneously. This approach has several drawbacks. The aim of this study is to present a modified technique for single cannula needlescopic assisted hernia repair in children...
August 31, 2017: Journal of Pediatric Surgery
Iu V Aver'ianova, S P Makarov, A É Stepanov, A Iu Razumovskiĭ, K G Vasil'ev
AIM: To present results of VAC application in children with complicated wounds of anterior abdominal wall combined with intestinal and/or biliary fistulas. MATERIAL AND METHODS: For the last 7 years 8 patients aged from 1.5 months to 15 years with infected postoperative wounds of anterior abdominal wall complicated by intestinal fistulas (6), biliary and intestinal fistulas (1) and biliary fistula (1) have been treated at the surgical department №2 of Russian Children's Clinical Hospital...
2016: Khirurgiia
Sergio Filippelli, Gianluigi Perri, Gianluca Brancaccio, Francesca G Iodice, Sonia B Albanese, Eugenio Trimarchi, Adriano Carotti
OBJECTIVE: To analyze the effectiveness and the results of the use of a vacuum-assisted closure (VAC) system for the treatment of complex sternal wounds in newborns after cardiac surgery. METHODS: From May 2008 until December 2012, six patients developed post-sternotomy wound problems (large defects of epithelialization or mediastinitis), which were treated with a VAC system. Median age at the time of institution of VAC was 24.5 days (range 16 to 65 days). Median time of treatment was 14 days (range 3 to 42 days)...
February 2015: Journal of Cardiac Surgery
A Dabaghi-Richerand, J Gómez-Chavarría, M González-Sánchez, J Saleme-Cruz, E Garavito
OBJECTIVE: To show the results and advantages of using the negative pressure closure system in a pediatric population with infections and wound closure defects. MATERIAL AND METHODS: A retrospective analysis was conducted on pediatric patients in whom the VAC(®) negative pressure wound closure system was used in the Shriners Hospital for Children, Mexico, from January 2008 to December 2012. We were able to include 8 patients treated with this system. We evaluated the cause for use, wound colonizing microorganism, number of days of stay at the hospital, number of times applied, interval of application, and number of days in the hospital until discharge after VAC(®) application, and final treatment...
July 2013: Revista Española de Cirugía Ortopédica y Traumatología
A Binet, T Gelas, S Jochault-Ritz, O Noizet, J P Bory, F Lefebvre, M Belouadah, I James-Robert, D Aubert, M A Bouche-Pillon Persyn, M L Poli-Merol, C François-Fiquet
Giant omphalocele is associated to morbidity and mortality because of the strain the reintegrated herniated mass places on the hemodynamic equilibrium and breathing functions of affected infants. Currently, care management consists in a reintegration in one time or progressive reintegration. We report here a multicenter retrospective study about alternative management by VAC® therapy for giant omphaloceles. The study included three patients (1 girl, 2 boys) presenting with giant omphaloceles, born at full term in three different University Hospitals (prenatal diagnosis, normal karyotype)...
December 2013: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Ivan M Gutierrez, Gerald Gollin
PURPOSE: The utility of negative pressure wound therapy (NPWT) in the management of adults with an open abdomen has been well documented. We reviewed our experience with NPWT in the management of infants and children with this condition. METHODS: The records of all children who were treated with NPWT for an open abdomen between March 2005 and September 2009 at a single children's hospital were reviewed. RESULTS: Twenty-five subjects were identified...
December 2012: Langenbeck's Archives of Surgery
Michael S Katz, Christine M Finck, Marshall Z Schwartz, Matthew L Moront, Rajeev Prasad, Shaheen J Timmapuri, L Grier Arthur
BACKGROUND: The management of lymphangiomas in children is a complex problem with frequent recurrence and infection. Vacuum-assisted closure (VAC) devices have been shown to accelerate the healing of open wounds. We hypothesized that VAC therapy might decrease complications after resection of lymphangiomas. METHODS: A retrospective review was performed on 13 children (August 2005 to April 2010) who were patients undergoing lymphangioma resection with postoperative VAC therapy...
February 2012: Journal of Pediatric Surgery
Ulrike Subotic, Wolfram Kluwe, Valérie Oesch
BACKGROUND AND IMPORTANCE: Since the introduction of vacuum-assisted closure (VAC) in 1997, it has been used successfully in treating difficult wounds, including spinal wounds and wounds in pediatric patients. There are no reports on VAC therapy in pediatric patients on the scalp, especially with exposed dura. This report describes a 10-year-old boy with a chronic wound of the scalp with exposed dura after multiple neurosurgical interventions who was treated successfully with VAC. CLINICAL PRESENTATION: A 10-year-old mentally disabled boy with Apert syndrome suffered from a chronic wound with community-associated methicillin-resistant Staphylococcus aureus (MRSA) infection after multiple neurosurgeon operations...
May 2011: Neurosurgery
C Schiestl, K Neuhaus, T Biedermann, S Böttcher-Haberzeth, E Reichmann, M Meuli
BACKGROUND: Extended avulsion injuries are associated with significant loss of skin and subcutaneous fat, leaving the reconstructive surgeon with the challenge of substituting all tissues lost in the best possible way. We wanted to test whether the combined use of a Vacuum Assisted Closure system (VAC) and Integra Dermal Regeneration Template (IDRT) matched the required treatment profile encompassing initial control of infection, remodeling of body contours, and reconstruction of near normal skin...
March 2011: European Journal of Pediatric Surgery
Shinya Ugaki, Shingo Kasahara, Sadahiko Arai, Masami Takagaki, Shunji Sano
There is still no consensus on the optimal management to treat pediatric mediastinitis. We assessed the efficacy of continuous irrigation and vacuum-assisted closure (VAC) for mediastinitis in children. This study retrospectively reviewed 20 patients aged <5 years with mediastinitis from December 2002 to December 2009. The median age at the onset was 12 months (0.6-60 months), and the median body weight was 6.9 kg (3.1-15.3 kg). Continuous irrigation was applied for extensive mediastinitis or unstable hemodynamic cases and VAC for localized or ineffective cases after continuous irrigation...
September 2010: Interactive Cardiovascular and Thoracic Surgery
Federico Canavese, Joseph I Krajbich
BACKGROUND: Postoperative deep infections are relatively common in children with instrumented spinal deformities, whose healing potential is somewhat compromised. Children with underlying diagnosis of cerebral palsy, spina bifida and other chronic debilitating conditions are particularly susceptible. Vacuum-assisted closure (VAC) is a newer technique to promote healing of wounds resistant to treatment by established methods. This article aims to review the efficacy of the VAC system in the treatment of deep spinal infections following spinal instrumentation and fusion in children and adolescents...
April 2010: Indian Journal of Orthopaedics
John C Oeltjen, Anthony L Panos, Tomas A Salerno, Marco Ricci
Vacuum-assisted closure (VAC) has been used with success in the management of adults and children with sternal infections. However, this technique has not been applied previously to neonates requiring delayed sternal closure as the sole modality of therapy. In this article, we describe the management of two newborns with hypoplastic left heart syndrome in whom complete sternal wound healing was accomplished solely by using the VAC system. The implications of this new modality of treatment are discussed.
November 2009: Journal of Cardiac Surgery
Satu-Liisa Pauniaho, Janet Costa, Carole Boken, Rick Turnock, Colin T Baillie
PURPOSE: The aim of the study was to report the outcomes of the vacuum dressing method (vacuum-assisted closure [VAC]) in the management of "complicated" abdominal wounds in a selected group of children including neonates. METHODS: All children with vacuum (VAC) dressing-assisted closure of a complex abdominal wound (defined as complete/partial wound dehiscence combined with at least one of stoma, anastomosis, tube enterostomy, or infected patch abdominoplasty) were included in a 2-year study that took place in a single tertiary referral hospital...
September 2009: Journal of Pediatric Surgery
Dorothea Stiefel, Clemens M Schiestl, Martin Meuli
BACKGROUND: Integra artificial skin (Integra) (Integra Life Sciences Corporation, Plainsboro, NJ) is increasingly used as a skin substitute in reconstructive surgery. However, reliable fixation to the wound bed, a factor of paramount importance for successful application, is often hard to achieve. The vacuum-assisted closure system (VAC; KCI, Switzerland), a well-established subatmospheric pressure device, might be of interest to overcome these problems because of its ability to conform to almost any surface...
March 2009: Journal of Pediatric Surgery
F Canavese, S Gupta, J I Krajbich, K M Emara
Our aim was to review the efficacy of the wound vacuum-assisted closure (VAC) system in the treatment of deep infection after extensive instrumentation and fusion for spinal deformity in children and adolescents. A total of 14 patients with early deep spinal infection were treated using this technique. Of these, 12 had neuromuscular or syndromic problems. Clinical and laboratory data were reviewed. The mean follow-up was 44 months (24 to 72). All wounds healed. Two patients required plastic surgery to speed up the process...
March 2008: Journal of Bone and Joint Surgery. British Volume
Marina A van Rhee, Luuk W L de Klerk, Jan A N Verhaar
BACKGROUND CONTEXT: The rate of infection after spinal fusion in neuromuscular scoliosis is reported to range from 4% to 20%. Infection persists in about 50% after traditional treatment including debridement and closure. Instrumentation removal is necessary in up to 28%. PURPOSE: To analyze the outcome of vacuum-assisted wound closure (VAC) in combination with antibiotics for the treatment of deep wound infection after instrumented spinal fusion in pediatric neuromuscular scoliosis...
September 2007: Spine Journal: Official Journal of the North American Spine Society
B Salazard, J Niddam, O Ghez, D Metras, G Magalon
INTRODUCTION: Delayed sternal closure after paediatric open heart procedure is often necessary. The risk of delayed sternal closure is infection: superficial wound or sternal and mediastinal infection. The incidence of sternal wound infection reported in the literature varies from 0.5 to 10%. The mortality for poststernotomy deep sternal infection continues to be high--from 14 to 47%. Established treatment includes surgical debridement, drainage and irrigation, antibiotics, frequent change of wound dressing and direct or secondary closure with omentum or pectoral muscle flap...
2008: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Andreana Bütter, Mohammad Emran, Ayman Al-Jazaeri, Alain Ouimet
BACKGROUND/PURPOSE: Wound management in children has traditionally consisted of daily dressings. Although vacuum-assisted closure (VAC) is well described in the adult literature, there are few reports about children. We reviewed our experience with VAC. METHODS: A retrospective review from 2003 to 2005 revealed that 16 children underwent VAC. Variables analyzed included demographics, diagnosis, duration and characteristics of VAC, wound closure, recurrence, complications, and cost analysis...
May 2006: Journal of Pediatric Surgery
Marjorie J Arca, Kimberly K Somers, Terrance E Derks, Adam B Goldin, John J Aiken, Thomas T Sato, Joel Shilyansky, Andrea Winthrop, Keith T Oldham
The vacuum-assisted closure (VAC) system has become an accepted treatment modality for acute and chronic wounds in adults. The use of negative-pressure dressing has been documented in adults and, to some extent, in children. However, its use in premature infants has not been reported in the literature. The results of using the VAC system were examined in two premature infants with complex wounds. The VAC system was found to be effective in facilitating the closure of large and complex wounds in these patients...
July 2005: Pediatric Surgery International
Donna A Caniano, Brenda Ruth, Steven Teich
BACKGROUND/PURPOSE: Soft tissue loss from infectious, vascular, and traumatic disorders often results in poor healing, painful wound care, and the need for repeated operations. This retrospective study evaluates a single-institutional experience with negative pressure therapy (NPT), using the vacuum-assisted closure (VAC) device in a group of children with diverse soft tissue problems. METHODS: The medical records of 51 patients treated with NPT from January 2000 to July 2003 were reviewed for demographics, diagnosis, duration of VAC therapy, wound closure, recurrent disease, and complications...
January 2005: Journal of Pediatric Surgery
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