Inicijalna iskustva u provođenju terapije površnim negativnim tlakom pri liječenju dječjih opeklina

Scientific paper - Original scientific paper

• Title (english): Initial experience with topical negative pressure therapy in the treatment of pediatric burns
• Author: Zoran Barčot
• Author: Rok Kralj
• Author: Mario Kurtanjek
• Author: Božidar Župančić
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

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 (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.

• Keywords (english): 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
• Language: croatian
• Publication type: Scientific paper - Original scientific paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Liječnički vjesnik
• Numbering: vol. 138, no. 11-12, pp. 335-338
• p-ISSN: 0024-3477
• URN:NBN: urn:nbn:hr:105:386161
• Publication: 2016-11
• Document URL: https://hrcak.srce.hr/file/256216
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-28 09:37:35