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https://doi.org/10.14300/mnnc.2024.19022

Vacuum therapy for the treatment of chronic and long-term non-healing wounds in children

[Surgery]
Natusya Barova; Sergey Minaev; Ekaterina Nikolaevna Eskina; Oksana Vladimirova; Maxim Alekseevich Stepkin; Evgeniy Strukovskiy; Alina Nikolaevna Grigorova; Victoria Nikolaevna Mashchenko;

The development of chronic wounds is linked to disturbed tissue reparation or their poor activity, which impedes the recovery of the anatomic and functional integrity of the skin and soft tissues. Our study focused on using advanced vacuum therapy systems to treat children suffering from chronic or long-term non-healing wounds. The entire study included 39 patients aged 1.5–17, both males and females, where the pool of participants was divided into two overall similar groups: Group 1 (main group) – 22 children who received VAC therapy, and Group 2 (control group) – 17 patients who were given standard treatment.

The outcomes obtained through the treatment offered in each group revealed that vacuum therapy used for treating chronic and long-term non-healing wounds in children significantly shortened the healing period and in-patient treatment; other benefits implied better anatomic, functional, and aesthetic effects. In Group 1, on average, complete wound epithelialization was observed early than in Croup 2. The duration of inpatient treatment in Group 1 was an average of 15.6±2.1 days, the same indicator in Group 2 being 23.3±2.5 days. None of the patients was seen to develop any surgical complications.

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Keywords: vacuum therapy, chronic wounds, long-term non-healing wounds, wound treatment, autografting, children