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Case Study/Series Study
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Conservative management of unusual wounds in children First Author: Pancani S. Authors: Pinzauti E, Messineo A, Rowan S Congenital malformations, neoplastic and peculiar surgical conditions may be associated with extensive skin loss. This paper describes the use of nanocrystalline silver antimicrobial dressings in the management of infection in 3 such cases. Myelomeningocele Newborn with severe cerebrospinal malformations, developed skin necrosis extending over two thirds of back, involving subcutaneous tissues with leakage of cerebrospinal fluid. Antibiotic therapy was administered. Local management of the wound included nanocrystalline silver antimicrobial dressings, complete healing was achieved in 30 days. Juvenile fibrosarcoma Newborn with pelvic juvenile fibrosarcoma extending to thigh with involvement of intervertebral foramina underwent extra peritoneal debulking of the mass. On day 13 post-op, a greyish area of necrotic tissue was surgically removed. Parenteral antibiotics were continued in association with nanocrystalline silver antimicrobial dressing until wound closure was achieved. Syndrome of Kostmann Female, 5 years old with chronic endopelvic appendicitis with vaginal perforation and endopelvic abscess, which were closed surgically. Despite aggressive parenteral antibiotics therapy, the surgical wound opened. Wound management with nanocrystalline silver antimicrobial dressing was initiated and wound healed on day 35 post-op. Based upon these outcomes, nanocrystalline silver barrier dressings, in combination with antibiotic therapy, were effective in the management of complicated, unusual wounds in children. |
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