Mauricio José Lopes Pereima1, Rodrigo Feijó2, Fabiana Oenning da Gama3, Roberto de Oliveira Boccardi3. 1. Burn Trauma Center - Joana de Gusmão Children Hospital. Departmant of Pediatrics, Federal University of Santa Catarina, Florianópolis, Brazil. Electronic address: mauricio.pereima@ufsc.br. 2. Burn Trauma Center - Joana de Gusmão Children Hospital, Florianópolis, Brazil. 3. Universidade do Sul de Santa Catarina, UNISUL, Florianópolis, Brazil.
Abstract
OBJECTIVE: Evaluate the results obtained using a Dermal Regeneration Template (DRT) associated or not with the Negative Pressure Wound Therapy (NPWT) for skin cover in paediatric patients who were victims of burns. METHOD: Retrospective study of a cross-sectional study that evaluated the medical records of children submitted to the application of DRT, associated or not with NPWT, for the treatment of burned children admitted to the Joana de Gusmão Children's Hospital (JGCH) in Florianópolis, in the period from January 2011 to December 2016, totalling 45 patients. RESULTS: The majority of the patients were pubescent (31.8%) males (56.8%), and the main aetiology of the burn was flammable substances (75%). In the group that used only DRT, the average take of DRT was 85% with an average time of maturity of 17.65days and the mean take rate of the skin graft was 85.2%. In the group that used DRT plus NPWT, the mean DRT take was 99.8%, with a mean maturation time of 16.68days and the mean of the skin graft take rate was 89.1%. CONCLUSION: NPWT associated with DRT offers a higher rate of success in the treatment of complex wounds caused by burns, promotes increased DRT take rate, reduces DRT maturation time and increases the take rate of the skin graft.
OBJECTIVE: Evaluate the results obtained using a Dermal Regeneration Template (DRT) associated or not with the Negative Pressure Wound Therapy (NPWT) for skin cover in paediatric patients who were victims of burns. METHOD: Retrospective study of a cross-sectional study that evaluated the medical records of children submitted to the application of DRT, associated or not with NPWT, for the treatment of burned children admitted to the Joana de Gusmão Children's Hospital (JGCH) in Florianópolis, in the period from January 2011 to December 2016, totalling 45 patients. RESULTS: The majority of the patients were pubescent (31.8%) males (56.8%), and the main aetiology of the burn was flammable substances (75%). In the group that used only DRT, the average take of DRT was 85% with an average time of maturity of 17.65days and the mean take rate of the skin graft was 85.2%. In the group that used DRT plus NPWT, the mean DRT take was 99.8%, with a mean maturation time of 16.68days and the mean of the skin graft take rate was 89.1%. CONCLUSION: NPWT associated with DRT offers a higher rate of success in the treatment of complex wounds caused by burns, promotes increased DRT take rate, reduces DRT maturation time and increases the take rate of the skin graft.
Authors: Holly N Wilkinson; Francesca L Longhorne; Elizabeth R Roberts; Varuni R Brownhill; Matthew J Hardman Journal: Wound Repair Regen Date: 2020-12-30 Impact factor: 3.401