Alfaro-Castellanos DE, Duque-Zepeda F, Santana-Ortiz R, Pérez- De la Torre JE, Arana-Hernández E, Andrés- Martínez DJ, Rubio-Jiménez SE

Language: Spanish
References: 5
Page: 240-244
PDF size: 507.49 Kb.

ABSTRACT

Introduction. Negative pressure therapy (TPN) has been used for the treatment of complex wounds associated with tissue loss for approximately 20 years, and its usefulness in pediatric patients has been observed.
Material and Methods. A cross-sectional, retrospective, descriptive study was carried out, the data were collected through the clinical file of patients treated with this method, including in the study regardless of the reason for which TPN was applied.
Results. A total of seven patients with complex wounds, of different dimensions, and involving different anatomical regions, with an important loss of tissue were included. Three of the patients suffered injuries secondary to multiple injuries, including traumatic amputations, two due to contaminated wound dehiscence, one patient with decubitus ulceration and one patient with Fournier gangrene. After the start with TPN patients were kept negative cultures during their treatment, in addition to maintaining antibiotic therapy based on clindamycin, except one of the patients, in which positive culture was reported prior to placement of TPN with Pseudomonas isolated germ Aeruginosa, which required broad spectrum management. None of the patients presented complications associated with TPN, all developed an adequate granulation tissue favoring early closure. Three of the patients underwent wound closure with a flap rotation. And four by third intention.
Discussion. Through the observed results, treatment with TPN is safe and effective, since in our study there were no complications or morbidities allowing its early repair as part of the joint management with the use of antibiotics.

REFERENCES

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