An algorithmic approach to the use of gauze-based negative-pressure wound therapy as a bridge to closure in pediatric extremity trauma.

摘要: Background: The efficacy of negative-pressure wound therapy as a bridge to definitive closure traumatic extremity wounds has been demonstrated in adults. Gauze-based used facilitate granulation tissue formation and promote number types. In this study, the authors evaluated gauze-based using Chariker-Jeter technique for pediatric requiring delayed closure. Methods: A retrospective review was conducted 24 patients presenting with injuries involving soft-tissue defects not amenable immediate primary After initial irrigation, debridement, antibiotic therapy, applied dressings were changed at 48- 72-hour intervals before secondary or by skin graft, local flaps, free transfer. Results: Granulation noted all day 4. duration vacuum averaged 10 days whose closed primarily (n = 19) 17 who allowed heal intention 5). Nine patients’ grafts eight flaps only, three There no incidence graft loss flap failure. Follow-up evaluation months, during which complications noted. Conclusions: As relatively atraumatic care few complications, provides highly effective option temporary management trauma patients.