TY - JOUR
T1 - Outcomes of vacuum-assisted closure for the treatment of wounds in a paediatric population
T2 - case series of 58 patients
AU - Gabriel, Allen
AU - Heinrich, Cherrie
AU - Shores, Jaimie
AU - Cho, David
AU - Baqai, Waheed
AU - Moores, Donald
AU - Miles, Duncan
AU - Gupta, Subhas
N1 - Copyright:
Copyright 2010 Elsevier B.V., All rights reserved.
PY - 2009/11
Y1 - 2009/11
N2 - Objective: This retrospective case series describes our experiences and outcomes using the vacuum-assisted closure (VAC) Therapy System for the management of difficult acute and chronic wounds in paediatric patients. Summary background data: Difficult wounds that cannot be closed primarily can create major challenges in paediatric patient care. Decreasing the time to wound closure is especially critical when managing paediatric patients. Methods: A retrospective review of medical records for 58 consecutive paediatric patients treated with VAC therapy was performed. Demographics, diagnosis, length of therapy, time to closure, time to discharge, type of VAC dressing used, dressing change schedule, therapy settings, and complications were recorded for each patient. Results: The median age of all 58 patients was 10 years (range, 10 days to 16 years). Fifty-four of the 58 wounds reached full closure. Patients were divided into five different groups according to diagnosis. The median time to closure for each group follows: Group 1 (abdominal wounds) 10 days (range, 3-99 days); Group 2 (surgical soft tissue deficit) 12 days (range, 3-30 days); Group 3 (trauma wounds) 7 days (range, 3-10 days); Group 4 (stage III/IV pressure ulcers) 15 days (range, 14-15 days); Group 5 (fasciotomy wounds) 5 days (range, 5-10 days). No complications were recorded for any of the patients. Conclusions: The results demonstrate that VAC therapy may be a viable, safe and effective method of managing this difficult-to-treat population.
AB - Objective: This retrospective case series describes our experiences and outcomes using the vacuum-assisted closure (VAC) Therapy System for the management of difficult acute and chronic wounds in paediatric patients. Summary background data: Difficult wounds that cannot be closed primarily can create major challenges in paediatric patient care. Decreasing the time to wound closure is especially critical when managing paediatric patients. Methods: A retrospective review of medical records for 58 consecutive paediatric patients treated with VAC therapy was performed. Demographics, diagnosis, length of therapy, time to closure, time to discharge, type of VAC dressing used, dressing change schedule, therapy settings, and complications were recorded for each patient. Results: The median age of all 58 patients was 10 years (range, 10 days to 16 years). Fifty-four of the 58 wounds reached full closure. Patients were divided into five different groups according to diagnosis. The median time to closure for each group follows: Group 1 (abdominal wounds) 10 days (range, 3-99 days); Group 2 (surgical soft tissue deficit) 12 days (range, 3-30 days); Group 3 (trauma wounds) 7 days (range, 3-10 days); Group 4 (stage III/IV pressure ulcers) 15 days (range, 14-15 days); Group 5 (fasciotomy wounds) 5 days (range, 5-10 days). No complications were recorded for any of the patients. Conclusions: The results demonstrate that VAC therapy may be a viable, safe and effective method of managing this difficult-to-treat population.
KW - Negative pressure wound therapy
KW - VAC Therapy System
KW - Vacuum-assisted closure
KW - Wound care in paediatrics
UR - http://www.scopus.com/inward/record.url?scp=72049096116&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=72049096116&partnerID=8YFLogxK
U2 - 10.1016/j.bjps.2008.06.033
DO - 10.1016/j.bjps.2008.06.033
M3 - Article
C2 - 18835547
AN - SCOPUS:72049096116
SN - 1748-6815
VL - 62
SP - 1428
EP - 1436
JO - Journal of Plastic, Reconstructive and Aesthetic Surgery
JF - Journal of Plastic, Reconstructive and Aesthetic Surgery
IS - 11
ER -