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

1. 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

2. 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

3. Indications to application of vacuum
therapy in pediatric practice
Traumatic wounds
Full-thickness and split grafts
Decubituses
Burns
Infected wounds

4. Extensive decubitus of waist
(а boy,14 years old. Ds: Autotrauma. Heavy spinal trauma)
Wound before NPWT Vacuum therapy (90 mm Hg) 12 days

5. Wound after 10 days NPWT (90 mm Hg) Full-thickness grafting
Complete recovery of skin - 12th day after grafting

6. 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

7. Wound after 28 days NPWT (90 mm Hg) Full-thickness grafting
Surgery results – 2d day after grafting

8. 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)

9. vsoshkina78@yandex.ru