Inicijalna iskustva u provođenju terapije površnim negativnim tlakom pri liječenju dječjih opeklina [Initial experience with topical negative pressure therapy in the treatment of pediatric burns]

Barčot, Zoran and Kralj, Rok and Kurtanjek, Mario and Župančić, Božidar (2016) Inicijalna iskustva u provođenju terapije površnim negativnim tlakom pri liječenju dječjih opeklina [Initial experience with topical negative pressure therapy in the treatment of pediatric burns]. Liječnički vjesnik, 138 (11-12). pp. 335-8. ISSN 0024-3477

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Abstract

We are presenting the experience of the Referral Centre for Pediatric Traumatism of the Croatian Ministry of Health in the usage of topical negative pressure therapy (TNP) method for the treatment of pediatric burns. In the period of 20 months we have used negative pressure wound therapy method in eight children aged between 1.5 and 10 years. Burn injuries total body surface area ranged between 3% and 30%. TNP was used either for the wound bed conditioning or for the fixation of skin grafts. Average skin graft „take” was 86% eight days after surgery according to the evaluation by the senior author. Based on our initial experience, we can confirm that TNP is a very useful tool which enables good wound bed conditioning as well as a good fixation tool for skin grafts if the burned area does not exceed 30% of total body surface area.

Abstract in Croatian

Prikazujemo iskustvo Referentnog centra za traumatizam dječje dobi Ministarstva zdravstva Republike Hrvatske u provođenju terapije površnim negativnim tlakom pri liječenju dječjih opeklina. U periodu od 20 mjeseci koristili smo se kod osmero djece u dobi od 1,5 godina do 10 godina s opeklinskim ozljedama koje su zahvaćale od 3 do 30% tjelesne površine sistemom površnoga negativnog tlaka ili radi kondicioniranja podloge opeklinske rane prije transplantacije kože djelomične debljine ili za fiksaciju kožnih transplantata. Prosječni je prihvat transplantata 8. dan nakon operacije prema procjeni prvog autora iznosio oko 86%. Temeljem svojih inicijalnih iskustava možemo reći da je terapija površnim negativnim tlakom korisna metoda jer pomaže i u kondicioniranju podloge opeklinske rane prije transplantacije kože i za fiksaciju kožnih transplantata ako opeklina ne zahvaća više od 30% tjelesne površine.

Item Type: Article
MeSH: Burns/diagnosis ; Burns/epidemiology ; Burns/therapy ; Child ; Child, Preschool ; Croatia/epidemiology ; Female ; Graft Survival ; Humans ; Infant ; Male ; Negative-Pressure Wound Therapy/methods ; Skin Transplantation/adverse effects ; Skin Transplantation/methods ; Trauma Severity Indices ; Treatment Outcome ; Wound Healing
Departments: Katedra za kirurgiju
Depositing User: Anja Majstorović
Status: Published
Creators:
CreatorsEmail
Barčot, ZoranUNSPECIFIED
Kralj, RokUNSPECIFIED
Kurtanjek, MarioUNSPECIFIED
Župančić, BožidarUNSPECIFIED
Date: November 2016
Date Deposited: 19 Mar 2019 11:46
Last Modified: 19 Mar 2019 11:46
Subjects: /
Related URLs:
URI: http://medlib.mef.hr/id/eprint/3155

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