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VAC therapy in children

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25 papers 25 to 100 followers Utilidad de la terapia VAC en cirugía pediatrica
By Alejandro Peñarrieta Daher Residente de Cirugía Pediatrica en Hospital Infantil de México Federico Gómez
Beau Aldridge, Alan P Ladd, Jacqueline Kepple, Teresa Wingle, Christopher Ring, Evan R Kokoska
BACKGROUND: Current treatment of giant omphalocele includes "paint and wait" or placement of mesh or silo. These methods are associated with high complication rates. We propose negative pressure wound therapy as an alternative. METHODS: Patients born between 2009 and 2014 with giant omphalocele were included. Outcomes analyzed were duration of therapy, time to full enteral feeds, treatment related complications, wound surface area over time, type, and time to definitive closure...
March 2016: American Journal of Surgery
S F Hassan, S Hassan, A Pimpalwar
INTRODUCTION: Primary suture-less closure of gastroschisis using negative pressure dressing (wound vacuum) involves the application of an initial preformed Silo with subsequent bedside suture-less closure of the defect using negative pressure dressing. The advantages of this gentle approach are the simple bedside closure without intubation, paralysis or ventilation as well as reduced risk of barotrauma, abdominal compartment syndrome, acidosis, bowel infarction and necrotizing enterocolitis...
October 2011: European Journal of Pediatric Surgery
Susan L Wilcinski
Wound healing is a complex process that can be even more challenging in neonatal and pediatric patients. Infants and children have special characteristics such as skin immaturity, a high body surface to weight ratio, sensitivity to pain, increased potential for percutaneous absorption of medication, and an immature immune system that adds to the complexity of treating their wounds. The use of controlled topical negative pressure across a wound surface has been used in adults and children since 1995. Recently, the use of this device has been reported in neonates...
June 2010: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Kandice E Kilbride, Donald R Cooney, Monford D Custer
INTRODUCTION: Closure of giant omphalocele can present a surgical challenge. Neither silo, skin flap, nor primary closure has been successful in treating all patients. We present a novel application of the vacuum-assisted closure (VAC) device, which allows for improved results in these difficult cases. METHODS: The VAC device (KCI, San Antonio, Tex) consisted of a sponge applied directly to the bowel and liver, covered with impermeable transparent dressing, and attached to a low negative pressure system...
January 2006: Journal of Pediatric Surgery
Gregory Lopez, Robin Clifton-Koeppel, Sherif Emil
BACKGROUND: Neonatal experience in vacuum-assisted closure (VAC) for complex abdominal wounds remains scant. METHODS: A neonatal VAC protocol was instituted in 2004. The medical records of patients treated with this protocol for the ensuing 3 years were retrospectively reviewed. Continuous data are reported as mean +/- SD (range). RESULTS: Ten VAC applications occurred in 8 neonates for a 3-year period. Gestational age and age at VAC application were 30 +/- 6...
December 2008: Journal of Pediatric Surgery
Wilson W Choi, Craig A McBride, Roy M Kimble
Negative pressure wound therapy (NPWT) is an accepted form of treatment in managing complex wounds in adults and children. It is not as widely used in the neonatal population due to limited clinical experience. We describe the application of the RENASYS™ system (Smith and Nephew, UK) in delivering NPWT to four neonates with complex gastroschisis, all of whom achieved successful outcomes.
August 2011: Pediatric Surgery International
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
G E Glass, G F Murphy, A Esmaeili, L-M Lai, J Nanchahal
BACKGROUND: Negative-pressure wound therapy (NPWT) promotes angiogenesis and granulation, in part by strain-induced production of growth factors and cytokines. As their expression profiles are being unravelled, it is pertinent to consider the mode of action of NPWT at the molecular level. METHODS: MEDLINE (January 1997 to present), Embase (January 1997 to present), PubMed (no time limit), the Cochrane Database of Systematic Reviews and the Cochrane Controlled Trials Register were searched for articles that evaluated the influence of NPWT on growth factor expression quantitatively...
December 2014: British Journal of Surgery
Tiffany K Bee, Martin A Croce, Louis J Magnotti, Ben L Zarzaur, George O Maish, Gayle Minard, Thomas J Schroeppel, Timothy C Fabian
OBJECTIVE: The options for abdominal coverage after damage control laparotomy or abdominal compartment syndrome vary by institution, surgeon preference, and type of patient. Some advocate polyglactin mesh (MESH), while others favor vacuum-assisted closure (VAC). We performed a single institution prospective randomized trial comparing morbidity and mortality differences between MESH and VAC. METHODS: Patients expected to survive and requiring open abdomen management were prospectively randomized to either MESH or VAC...
August 2008: Journal of Trauma
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
Stephanie Sea, Teerin Meckmongkol, Matthew L Moront, Shaheen Timmapuri, Rajeev Prasad, Marshall Z Schwartz, L Grier Arthur
PURPOSE: Necrotizing enterocolitis (NEC) requiring surgical intervention is associated with mortality rates approaching 50%. We evaluated outcomes of patients that underwent surgical treatment for NEC with vacuum-assisted closure (VAC) of the abdomen as compared with traditional laparotomy, bowel resection, and ostomy creation. METHODS: A retrospective review identified 26 patients from 2007 to 2012 with NEC. Overall, 17 patients were treated with laparotomy, and 9 were treated with laparotomy and VAC (LapVac)...
February 2015: European Journal of Pediatric Surgery
Craig A McBride, Kellie Stockton, Kristen Storey, Roy M Kimble
The degree of viscero-abdominal disproportion often makes single-stage reduction difficult in large abdominal wall defects, without risking respiratory or hemodynamic compromise. As a consequence, clinicians have adopted a number of different methods to control these defects. Repair may be in the neonatal period, or later in life. Delayed repairs require epithelialization of the gastroschisis or omphalocele. Definitive repair may be in single or multiple stages. This paper describes four children in whom negative pressure wound therapy (NPWT) was used to facilitate closure of these complex defects...
November 2014: Pediatric Surgery International
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
S K Rasilainen, P J Mentula, A K Leppäniemi
BACKGROUND: Several temporary abdominal closure techniques have been used in the management of open abdomen. Failure to achieve delayed primary fascial closure results in a large ventral hernia. This retrospective analysis evaluated whether the use of vacuum-assisted closure and mesh-mediated fascial traction (VACM) as temporary abdominal closure improved the delayed primary fascial closure rate compared with non-traction methods. METHODS: Patients treated with an open abdomen between 2004 and 2010 were analysed...
December 2012: British Journal of Surgery
Alexander P Stoffan, Robert Ricca, Chueh Lien, Sandy Quigley, Bradley C Linden
BACKGROUND: Negative pressure wound therapy (NPWT) is an established and effective tool in the management of complicated abdominal wounds. This management approach has been used in infants, but few large series reports exist in the literature. METHODS: The outcomes of infants with abdominal wounds receiving NPWT over the last 10 years at our institution were evaluated. Overall survival, time between initiation of NPWT, and discharge/death were examined. RESULTS: We identified 18 infants who had abdominal wounds treated with NPWT...
August 2012: Journal of Pediatric Surgery
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
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
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
2014-09-09 01:51:20
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