APPLICATION OF NPWT IN TREATMENT OF DECUBITUSES AT CHILDREN WITH

NEURUTROPHIC VIOLATIONS

Moscow Scientific Institute of Pediatrics and Children Surgery Moscow Children Hospital Named by G.N.Speransky

Moscow Russia

Action mechanism of NPWT Creates the closed wet environment for

a wound repairing

Draining of exsudate

NPWT deletes intersticial liquid, promoting decompression of tissue and decreases the hypostasis

Accelerates wound repairing through stimulation of granulation tissue

Improves local blood circulation, lymph flow and transcapillary transport

Stimulation of local angiogenesis

Reduces risk of wound infection

Strengthens mechanical stretching and convergence of wound edges

Indications to application of vacuum therapy in pediatric practice

Traumatic wounds Full-thickness and split grafts Decubituses Burns Infected wounds

Extensive decubitus of waist (а boy,14 years old. Ds: Autotrauma. Heavy spinal trauma)

Wound before NPWT Vacuum therapy (90 mm Hg) 12 days

Wound after 10 days NPWT (90 mm Hg) Full-thickness grafting

Complete recovery of skin - 12th day after grafting

A boy,16 years old. Ds: Autotrauma.

Heavy spinal trauma

Wound before NPWT NPWT (90 mm Hg) 14 days

NPWT (90 mm Hg) 20 days

Wound after 28 days NPWT (90 mm Hg) Full-thickness grafting

Surgery results – 2d day after grafting

A boy, 2 years old. Ds: Autotrauma. Heavy cranial trauma

Wound before NPWT

NPWT (90 mm Hg) 10 days Split-thickness grafting (8th day after surgery)

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