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

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.

More about the authors

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

DOI: 10.17116/hirurgia2016239-44

Downloaded: 69

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

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 2025 (Pirogov Russian Journal of Surgery)

Close metadata

Recommended articles:

Influence of diagnostic period on the outcomes in patients with Crohn’s disease. Pirogov Russian Journal of Surgery. 2024;(7):36-44

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

List of references:

Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg. 1997;38(6):563-576.
Binet A, Gelas T, Jochault-Ritz S, Noizet O, Bory JP, Lefebvre F, Belouadah M, James-Robert I et al. VAC therapy a therapeutic alternative in giant omphalocele treatment: a multicenter study. J Plast Reconstr Aesthet Surg. 2013;66(12):373-375.
Blakely ML, Lally KP, McDonald S, Brown RL, Barnhart DC, Ricketts RR, Thompson WR, Scherer LR et al. Postoperative outcomes of extremely low birth-weight infants with necrotizing enterocolitis or isolated intestinal perforation: a prospective cohort study by the NICHD Neonatal Research Network. Ann Surg. 2005;241(6):984-989.
Boettcher-Haberzeth S, Schiestl C. Management of avulsion injuries. Eur J Pediatr Surg. 2013;23(5):359-364.
Chen SZ, Li J, Li XY et al. Effects of vacuum-assisted closure on wound microcirculation: an experimental study. Asian J Surg. 2005;28:211-217.
Choi WW, McBride CA, Kimble RM. Negative pressure wound therapy in the management of neonates with complex gastroschisis. Pediatr Surg Int. 2011;27(8):907-911.
Costello JP, Amling JK, Emerson DA, Peer SM, Afflu DK, Zurakowski D, Jonas RA, Nath DS. Negative pressure wound therapy for sternal wound infections following congenital heart surgery. J Wound Care. 2014;23(1):31-36.
Erba P, Ogawa R, Ackermann M, Adini A, Miele LF, Dastouri P, Helm D, Mentzer SJ et al. Angiogenesis in wounds treated by microdeformational wound therapy. Ann Surg. 2011;253(2):402-409.
Gutierrez IM, Gollin G. Negative pressure wound therapy for children with an open abdomen. Langenbecks Arch Surg. 2012;397(8):1353-1357.
Filippelli S, Perri G, Brancaccio G, Iodice FG, Albanese SB, Trimarchi E, Carotti A. Vacuum-assisted closure system in newborns after cardiac surgery. J Card Surg. 2015;30(2):190-193.
Halvorson J, Jinnah R, Kulp B, Frino J. Use of vacuum-assisted closure in pediatric open fractures with a focus on the rate of infection. Orthopedics. 2011;34(7):256-260.
Hoeller M, Schintler MV, Pfurtscheller K, Kamolz LP, Tripolt N, Trop M. A retrospective analysis of securing autologous split-thickness skin grafts with negative pressure wound therapy in pediatric burn patients. Burns. 2014;40(6):1116-1120.
Hutchison RL, Craw JR. Use of acellular dermal regeneration template combined with NPWT to treat complicated extremity wounds in children. J Wound Care. 2013;22(12):708-712.
Jacobs S, Simhaee DA, Marsano A, Fomovsky GM, Niedt G, Wu JK. Efficacy and mechanisms of vacuum-assisted closure (VAC) therapy in promoting wound healing: a rodent model. J Plast Reconstr Aesthet Surg. 2009;62(10):1331-1338.
Katz MS, Finck CM, Schwartz MZ, Moront ML, Prasad R, Timmapuri SJ, Arthur LG. Vacuum-assisted closure in the treatment of extensive lymphangiomas in children. J Pediatr Surg. 2012;47(2):367-370.
Kirkpatrick AW, Roberts DJ, De Waele J, Jaeschke R, Malbrain ML, De Keulenaer B, Duchesne J, Bjorck M et al. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med. 2013;39(7):1190-1206.
Konofaos P, Kashyap A, Wallace RD. Total scalp reconstruction following a dog bite in a pediatric patient. J Craniofac Surg. 2014;25(4):1362-1364.
Kouretas PC, Burch PT, Kaza AK, Lambert LM, Witte MK, Everitt MD, Siddiqi FA. Management of deep wound complications with vacuum-assisted therapy after Berlin Heart EXCOR ventricular assist device placement in the pediatric population. Artif Organs. 2009;33(11):922-925.
Mooney JF 3rd, Argenta LC, Marks MW, Morykwas MJ, DeFranzo AJ. Treatment of soft tissue defects in pediatric patients using the V.A.C. system. Clin Orthop Relat Res. 2000;376:26-31.
Mouës CM, Vos MC, van den Bemd GJ, Stijnen T, Hovius SE. Bacterial load in relation to vacuum-assisted closure wound therapy: a prospective randomized trial. Wound Repair Regen. 2004;12(1):11-17.
Orgill DP, Bayer LR. Negative pressure wound therapy: past, present and future. Int Wound J. 2013(10 suppl 1):15-19.
Ousey KJ, Milne J. Exploring portable negative pressure wound therapy devices in the community. Br J Community Nurs. 2014(suppl):14:16-20.
Pauniaho SL, Costa J, Boken C, Turnock R, Baillie CT. Vacuum drainage in the management of complicated abdominal wound dehiscence in children. J Pediatr Surg. 2009;44(9):1736-1740.
Rycerz AM, Allen D, Lessing MC. Science supporting negative pressure wound therapy with instillation. Int Wound J. 2013;10(suppl 1):20-24.
Sea S, Meckmongkol T, Moront ML, Timmapuri S, Prasad R, Schwartz MZ, Arthur LG. Vacuum-assisted closure: a novel method of managing surgical necrotizing enterocolitis. Eur J Pediatr Surg. 2015;25(1):41-45.
Schiestl C, Neuhaus K, Biedermann T, Böttcher-Haberzeth S, Reichmann E, Meuli M. Novel treatment for massive lower extremity avulsion injuries in children: slow, but effective with good cosmesis. Eur J Pediatr Surg. 2011;21(2):106-110.
Shilt JS, Yoder JS, Manuck TA, Jacks L, Rushing J, Smith BP. Role of vacuum-assisted closure in the treatment of pediatric lawnmower injuries. J Pediatr Orthop. 2004;24(5):482-487.
Subotic U, Kluwe W, Oesch V. Community-associated methicillin-resistant Staphylococcus aureus-infected chronic scalp wound with exposed dura in a 10-year-old boy: vacuum-assisted closure is a feasible option: case report. Neurosurgery. 2011;68(5):1481-1483.
Sullivan N, Snyder DL, Tipton K, Uhl S, Schoelles KM. Negative Pressure Wound Therapy Devices. Rockville (MD): Agency for Healthcare Research and Quality (US); 2009. Report No.: WNDT1108. AHRQ Technology Assessments.http://www.ncbi.nlm.nih.gov/books/NBK253229/
Ugaki S, Kasahara S, Arai S, Takagaki M, Sano S. Combination of continuous irrigation and vacuum-assisted closure is effective for mediastinitis after cardiac surgery in small children. Interact Cardiovasc Thorac Surg. 2010;11(3):247-251.
Wilcinski SL. Use of a vacuum-assisted device in a neonate with a giant omphalocele. Adv Neonatal Care. 2010;10(3):119-126.
Younan G, Ogawa R, Ramirez M, Helm D, Dastouri P, Orgill DP. Analysis of nerve and neuropeptide patterns in vacuum-assisted closure-treated diabetic murine wounds. Plast Reconstr Surg. 2010;126(1):87-96.

Close metadata