Clinical Application of Vacuum Sealing Drainage for the Treatment of Deep Burn Wounds

2021 ◽  
pp. 000313482110545
Author(s):  
Tao Sun ◽  
Wenjie Ying ◽  
Shuangshuang Wang ◽  
Caiqiang Chen ◽  
Pengyu Sun ◽  
...  
Keyword(s):  
Wound Healing ◽  
Survival Rate ◽  
Pain Score ◽  
Bacterial Culture ◽  
Skin Grafting ◽  
Vacuum Sealing ◽  
Burn Wounds ◽  
Positive Bacterial Culture ◽  
Antibiotic Drug ◽  
Vacuum Sealing Drainage

Background This study aimed to determine the effect of the clinical application of vacuum sealing drainage (VSD) on the treatment of deep burn wounds. Methods This single-blind, randomized, controlled study included patients who were admitted to our hospital with deep burns from January 2018 to December 2020; the patients were randomly divided into the VSD and control (CON) groups. The number of days from treatment to skin grafting; survival rate of the first skin graft; rate of positive bacterial culture; visual analog scale (VAS) pain score; and durations of wound healing, antibiotic drug use, and hospitalization were analyzed and compared between the groups. Results The application of VSD significantly shortened the number of days from treatment to skin grafting ( P < .05); improved the survival rate of the first skin graft in patients with severe burns ( P < .05); reduced the rate of positive bacterial culture ( P < .05); reduced the VAS pain score ( P < .05); and shortened the durations of wound healing ( P < .05), antibiotic drug use ( P < .05), and hospitalization ( P < .05). Conclusion Vacuum sealing drainage had a good clinical effect on the recovery of deep burn wounds.

557 Amniotic Fluid Injections in Chronic Non-Healing Wounds in Pediatric Patients: A Case Series

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S127-S128
Author(s):  
Anna M Darelli-Anderson ◽  
Samuel South ◽  
Giavonni M Lewis
Keyword(s):  
Wound Healing ◽  
Amniotic Fluid ◽  
Pediatric Patients ◽  
Skin Grafting ◽  
Post Treatment ◽  
Diabetic Patients ◽  
Burn Scar ◽  
Burn Wounds ◽  
Posterior Thigh ◽  
Split Thickness Skin Grafting

Abstract Introduction Amniotic tissues are used to support wound healing in a variety of fields and wound types including chronic stasis ulcers, lower extremity wounds in diabetic patients, poorly healing injuries associated with burns, and surgical wounds associated with intestinal fistulas. To date, the use of amniotic fluid (AF) alone has not been described in the literature. The properties of AF alone would suggest the potential for regenerative and accelerated healing. This descriptive, retrospective review evaluates the effects of AF injected into chronic, poorly healing burn wounds. Methods We conducted a retrospective chart review across five years and identified a total of 39 pediatric patients with chronic, poorly healing burn wounds, nine of whom were treated with AF injections. Five of these patients were excluded due to incomplete post-treatment data. All patients were managed in the ambulatory care setting. We evaluated Vancouver Burn Scar Scale (VBSS) and Patient and Observer Scar Assessment Scale (POSAS) scores as well as pre- and post-treatment photos of the wounds. Results Four patients aged 1–16 years met inclusion criteria with TBSA ranging from 1% to 57.5%. All patients tolerated the procedure well and none suffered adverse events associated with treatment. The average time from injury to treatment with AF was 14 months. Patient A is a 1-year-old male with bilateral posterior thigh wounds that remained open following skin grafting of a 57.5% TBSA injury who received injection of AF 5 months after injury. One month after treatment with AF injections, both posterior thigh wounds were closed (Figure 1). Patient B is a 9-year-old male with posterior thigh wounds that remained open following grafting of an 8% TBSA injury who received an injection of AF 10 months after injury. Following injections with AF the wounds closed over a period of 6 months (Figure 1). Patient C is a 10-year-old female with extensive contracture scarring across the upper torso, bilateral axilla and neck from a 25% TBSA injury who received an AF injection at 37 months post-injury. Areas of open wound in the axilla closed following a combination of laser treatment to scar areas and AF injections. Patient D is a 16-year-old female with 1% TBSA injury to the posterior thigh treated with split thickness skin grafting that failed to close. Following injection with AF four months after injury, the wound closed over a period of 3 months (Figure 1). VBSS scores and POSAS scores did not significantly correlate with wound healing observed. Conclusions Injection of amniotic fluid is a low-risk treatment adjunct that can be used to improve chronic burn wounds.

Early wound repair versus later scar repair in children with treadmill hand friction burns

2021 ◽  
Author(s):  
Rong Zhou ◽  
Lin Qiu ◽  
Jun Xiao ◽  
Xiaobo Mao ◽  
Xingang Yuan
Keyword(s):  
Skin Graft ◽  
Wound Repair ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Vacuum Sealing ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Vacuum Sealing Drainage ◽  
Repair Group ◽  
Hand Friction

Abstract The incidence of pediatric treadmill hand friction burns has been increasing every year. The injuries are deeper than thermal hand burns, the optimal treatment remains unclear. This was a retrospective study of children who received surgery for treadmill hand friction burns from January 1, 2015, to December 31, 2019, in a single burn center. A total of 22 children were surveyed. The patients were naturally divided into two groups: the wound repair group (13 patients), which was admitted early to the hospital after injury and received debridement and vacuum sealing drainage initially, and a full-thickness skin graft later; and the scar repair group (9 patients), in which a scar contracture developed as a result of wound healing and received scar release and skin grafting later. The Modified Michigan Hand Questionnaire score in the wound repair group was 116.31 ± 10.55, and the corresponding score in the scar repair group was 117.56 ± 8.85 (P&gt;0.05), no statistically significant difference. The Vancouver Scar Scale score in the wound repair group was 4.15 ± 1.21, and the corresponding score in the scar repair group was 7.22 ± 1.09 (P&lt;0.05). Parents were satisfied with the postoperative appearance and function of the hand. None in the two groups required secondary surgery. If the burns are deep second degree, third degree, or infected, early debridement, vacuum sealing drainage initially, and a full-thickness skin graft can obviously relieve pediatric pain, shorten the course of the disease, and restore the function of the hand as soon as possible.

Closure of Complex Wounds by a Simple Skin Stretching System Associated With Vacuum Sealing Drainage—Clinical Outcome of 34 Patients

2021 ◽  
pp. 153473462110320
Author(s):  
Yaojun Wu ◽  
Liang Chen ◽  
Xinliang Mao ◽  
Zhengliang Ru ◽  
Liying Yu ◽  
...  
Keyword(s):  
Vacuum Sealing ◽  
Day Range ◽  
Skin Stretching ◽  
Group A ◽  
Group B ◽  
Vacuum Sealing Drainage ◽  
Real Challenge ◽  
Safe Approach ◽  
Large Skin ◽  
Complex Wounds

Management of complex wounds with large skin defects presents a real challenge for orthopedic or reconstructive surgeons. We developed a simple skin stretching system associated with vacuum sealing drainage to examine the efficiency and complication. A total of 34 patients with different types of complex wounds were retrospectively included from January 2015 to March 2021. All patients in the study were underwent the treatment by 2 stages. The method was used to the wounds from 4.71 to 169.65 cm2 with a median defect size of 25.13 cm2. The median time for wound closure was 11.5 days (range: 5-32 days), although the median absolute reduction was 2.08 cm2/day (range: 0.15-25.66 cm2/day). Depending on the site of the wounds, the cause of the wound, and the rate of max-width/max-length ( W/ L), these complex wounds could be separately divided into several groups. There were statistically significant differences in the median value of the above variables ( P < .05 Kruskal–Wallis test). The results showed that different anatomical sites had different viscoelastic properties, the complex wounds caused by trauma were easier to close than caused by diabetic foot and the complex wounds in group A ( W/ L ＞ 0.5) were more difficult to close than in group B ( W/ L ≤ 0.5). No major complications were encountered in this study. In summary, the results of our study showed that the simple skin stretching system associated with vacuum sealing drainage was a safe approach for closure of complex wounds. Nevertheless, more attention should be paid to the viscoelasticity of the wounds to ensure closure and avoid undue complications when applying the method.

556 The Use of a Concentrated Surfactant Based Gel to Promote Burn Wound Healing

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S126-S127
Author(s):  
Rebecca Coffey ◽  
Rachel Penny
Keyword(s):  
Wound Healing ◽  
New Product ◽  
Ease Of Use ◽  
Burn Injuries ◽  
Full Thickness ◽  
Burn Wound ◽  
Burn Wounds ◽  
Burn Care ◽  
Product Trial ◽  
Burn Wound Healing

Abstract Introduction Strategies to remove necrotic tissue from burn wounds include excisional and non-excisional debridement. Alternative treatments could promote burn wound healing while minimizing patient discomfort and the need for surgery. We evaluated the usage of a concentrated surfactant gel (CSG) to promote burn wound healing in those with indeterminate depth and full thickness burn injuries. Methods An IRB approved retrospective study was conducted during a 10-patient new product trial period with enrollment between September and October 2019. Patients included in this study had indeterminate or full thickness burn wounds and were treated with a concentrated surfactant-based gel. Patients with non-burn diagnoses were excluded. Data collected included demographic information, injury descriptors, and additional burn wound characteristics. Results A total of 10 patients were included in this study as part of a new product trial. The subjects were 80% male with an average TBSA of 7.5%. 40% had indeterminate and 60% had full thickness burn wounds. Prior to initiation of the CSG, the burn wounds had been open for an average of 41 days. There were no infections or complications with usage of the CSG. 90% of patients reported less pain than the standard of care topical agents for burns. Average duration of treatment with the CSG until healing was 28 days. After usage of the CSG, no patients required surgery. Conclusions Our findings support the usage of a concentrated surfactant-based gel in patients with burn wounds. Patients reported decreased pain during dressing changes and ease of use compared to the standard topical agent in burn care. It also prevented surgical debridement in those with indeterminate and full thickness burn injuries.

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