JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2014, Vol. 52 ›› Issue (7): 102-105.doi: 10.6040/j.issn.1671-7554.0.2014.123

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Clinical application of vacuum assisted closure technology in children with damaged wounds

SHANG Niansheng1,2, HUO Ran1, LÜ Renrong1, XU Guangqi1, ZHAO Ran1   

  1. 1. Department of Burn and Plastic Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong, China;
    2. Department of Burn and Plastic Surgery, Zibo Occupational Disease Hospital, Zibo 255012, Shandong, China
  • Received:2014-03-10 Revised:2014-05-30 Online:2014-07-10 Published:2014-07-10

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Abstract: Objective To explore the clinical application and curative effect of vacuum assisted closure (VAC) in children with damaged wounds. Methods Primary debridement and VAC technique (-25 to -125 mmHg, 1 mmHg=0.133 kPa) were applied to the damaged wounds of 14 children. The VAC dressing was changed every 5 to 7 days. Razor thin skin graft or intermediate split thickness skin graft were conducted when abundant granulation tissue was observed. Wounds after skin grafting were still covered by VAC dressing for 5 to 7 days, and then survival rate of grafted skin was measured and recorded. Results Abundant granulation tissues were observed in all the 14 wounds. Grafted skin survived well in 12 wounds. Partial necrosis was seen in one grafted wound, which healed well after simple treatment. The other wound epithelized spontaneously without skin grafting. Conclusion VAC technique can promote the growth of granulation tissue, improve the blood flow to the wound, increase the survival rate of grafted skin, accelerate the wound healing, and ease the suffering of children. It is worthy of popularizing and applying in clinic.

Key words: Children, Skin graft, Damaged wound, Vacuum assisted closure technology

CLC Number: 

  • R622.1
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