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Broad Utility of a Minimally Invasive Technique for Pediatric Wound Care: Simple and Effective.
Steen, Emily H; Tuley, Jill M; King, Alice; Lee, Timothy C; Keswani, Sundeep G.
Afiliação
  • Steen EH; At Texas Children's Hospital in Houston, Texas, Emily H. Steen, MD, is Research Fellow; Jill M. Tuley, MS, is Laboratory Manager and Administrative Coordinator; Alice King, MD, is Fetal Surgeon and Instructor of Surgery and Pediatrics; Timothy C. Lee, MD, is Fetal Surgeon and Associate Professor of Surgery, Pediatrics, and Obstetrics; and Sundeep G. Keswani, MD, FACS, FAAP, is Surgical Director of Basic Science Research and Professor of Surgery, Pediatrics, and Obstetrics. The authors have discl
Adv Skin Wound Care ; 33(11): 588-592, 2020 Nov.
Article em En | MEDLINE | ID: mdl-33065680
OBJECTIVE: Infected or contaminated wound sites have historically been managed with incision and drainage. Here, the authors review their experience with skin closure over vessel loops and assess the results of this technique in a variety of clinical situations, hypothesizing that minimally invasive drainage strategies are associated with a decrease in common postoperative complications. METHODS: Investigators retrospectively reviewed the data of all children with infected or contaminated wound sites operated on by a single surgeon with skin closure over vessel loops from September 2016 to September 2018. Demographics, indications for surgery, complications, and follow-up were assessed. RESULTS: Over a 2-year period, 33 children underwent skin closure over vessel loops. The majority were female (82%), Hispanic/Latino (40%), and younger than 5 years (58%; range, 4 months to 16 years). One-third were obese. Reasons for intervention included skin and soft tissue infection (64%), trauma (15%), and ostomy closure (6%). Median postoperative length of stay was 1 day. Three-quarters (76%) of the patients returned to the clinic for follow-up and/or vessel loop removal. At 30 days after operation, no patients in this cohort returned to the ED with recurrent infection or wound dehiscence. CONCLUSIONS: This minimally invasive technique for contaminated wound management demonstrates no evidence of subsequent infection in standard follow-up. These results are indicative of specific advantages related to vessel loop drainage, including shorter lengths of stay and ease of wound maintenance, in a variety of challenging clinical scenarios.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Deiscência da Ferida Operatória / Infecção da Ferida Cirúrgica / Cicatrização / Ferimentos e Lesões / Procedimentos Cirúrgicos Minimamente Invasivos Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Deiscência da Ferida Operatória / Infecção da Ferida Cirúrgica / Cicatrização / Ferimentos e Lesões / Procedimentos Cirúrgicos Minimamente Invasivos Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Ano de publicação: 2020 Tipo de documento: Article