Vacuum-therapy for complicated anterior abdominal wall wounds and intestinal fistulas in children

Aver’ianova Yu.V.; Makarov S.P.; Stepanov A.E.; Razumovsky A.Yu.; Vasil'ev K.G.

doi:https://doi.org/10.17116/hirurgia2016239-44

Aver’ianova Yu.V.

Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University under the Ministry of Health of the Russia, Moscow, Russia, 119571

Makarov S.P.

Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University under the Ministry of Health of the Russia, Moscow, Russia, 119571

Stepanov A.E.

Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University under the Ministry of Health of the Russia, Moscow, Russia, 119571;
Subdepartment of Pediatric Surgery of the N.I. Pirogov Russian National Research Medical University under the Ministry of Health of the Russia, Moscow, Russia, 117997

Razumovsky A.Yu.

Subdepartment of Pediatric Surgery of the N.I. Pirogov Russian National Research Medical University under the Ministry of Health of the Russia, Moscow, Russia, 117997

ORCID: 0000-0003-3511-0456

Vasil'ev K.G.

Chair of Pediatric Surgery of N.I. Pirogov Russian Research Medical University, Moscow

Vacuum-therapy for complicated anterior abdominal wall wounds and intestinal fistulas in children

Authors:

Aver’ianova Yu.V., Makarov S.P., Stepanov A.E., Razumovsky A.Yu., Vasil'ev K.G.

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Journal: Pirogov Russian Journal of Surgery. 2016;(2): 39‑44

DOI: 10.17116/hirurgia2016239-44

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Aver’ianova YuV, Makarov SP, Stepanov AE, Razumovsky AYu, Vasil'ev KG, Vasil'ev KG. Vacuum-therapy for complicated anterior abdominal wall wounds and intestinal fistulas in children. Pirogov Russian Journal of Surgery. 2016;(2):39‑44. (In Russ.)
https://doi.org/10.17116/hirurgia2016239-44

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

Aim. To present results of VAC application in children with complicated wounds of anterior abdominal wall combined with intestinal and/or biliary fistulas. Material and methods. For the last 7 years 8 patients aged from 1.5 months to 15 years with infected postoperative wounds of anterior abdominal wall complicated by intestinal fistulas (6), biliary and intestinal fistulas (1) and biliary fistula (1) have been treated at the surgical department №2 of Russian Children's Clinical Hospital. All patients received complex medical therapy and local VAC-therapy. Results. Granulation and wound's size reduction were observed within first 7 days of VAC-therapy application in 5 (62.5%) children. In 4 (50%) patients at least 1 intestinal fistula has been closed in 15 days after VAC-therapy initiation on the average (range 7-24). Closure of all fistulas and wounds healing were observed in all patients in 28 days (range 16-42) after VAC-therapy initiation on the average. Conclusion. VAC-therapy is safe and effective treatment of complicated wounds of anterior abdominal wall combined with intestinal and/or biliary fistulas in children.

Keywords:

complicated anterior abdominal wall

intestinal fistulas

vacuum-therapy

complicated anterior abdominal wall

intestinal fistulas

vacuum-therapy

Authors:

Aver’ianova Yu.V.

Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University under the Ministry of Health of the Russia, Moscow, Russia, 119571

Makarov S.P.

Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University under the Ministry of Health of the Russia, Moscow, Russia, 119571

Stepanov A.E.

Razumovsky A.Yu.

Subdepartment of Pediatric Surgery of the N.I. Pirogov Russian National Research Medical University under the Ministry of Health of the Russia, Moscow, Russia, 117997

ORCID: 0000-0003-3511-0456

Vasil'ev K.G.

Chair of Pediatric Surgery of N.I. Pirogov Russian Research Medical University, Moscow

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References:

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