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A case series of prophylactic negative pressure wound therapy use with purse-string closure in stoma closure wounds

Yuka Kumata1, Daisuke Ishii2, Seiya Ishii1

  • 1Division of Pediatric Surgery, Department of Surgery, Asahikawa Medical University, Asahikawa, Japan.

Surgical Case Reports
|January 16, 2024
PubMed

Insights

Negative pressure wound therapy (NPWT) combined with purse-string closure (PSC) offers improved aesthetics and prevents surgical site infections (SSI) in pediatric stoma closure. This novel approach shows promising results for enhanced patient outcomes.

Area of Science:

  • Pediatric Surgery
  • Wound Management
  • Medical Devices

Background:

  • Pediatric stoma closure requires attention to aesthetic outcomes and prevention of surgical site infections (SSI).
  • Negative pressure wound therapy (NPWT) is an emerging technique for wound healing.
  • The application of NPWT in pediatric stoma closure is not well-documented.

Purpose of the Study:

  • To evaluate the efficacy of combining NPWT with purse-string closure (PSC) for pediatric stoma closure.
  • To assess the impact of this combined approach on aesthetic results and SSI rates.
  • To determine the safety and tolerability of NPWT in infants undergoing stoma closure.

Main Methods:

  • A case series of four infants undergoing non-umbilical stoma closure using a combination of PSC and NPWT.
  • NPWT was applied immediately post-surgery.
  • Patients were monitored for complications, and scar assessments were performed using the Manchester Scar Scale (MSS) and Patient and Observer Scar Assessment Scale (POSAS).

Main Results:

  • No instances of surgical site infections (SSI) or other complications were observed in the four infants.
  • NPWT was well-tolerated with no significant adverse events.
  • Excellent aesthetic outcomes were achieved, as indicated by low scores on the MSS and POSAS.

Conclusions:

  • The combination of NPWT and PSC is effective in preventing SSI and improving aesthetics in pediatric stoma closure.
  • This approach represents the first report of prophylactic NPWT for pediatric stoma closure.
  • Further research and case reports are needed to confirm the benefits of NPWT in this pediatric population.
Abstract

Keywords:
Case seriesNegative Pressure Wound Therapy (NPWT)Pediatric ostomyPurse-string closure (PSC)Stoma closureSurgical Site Infections (SSI)

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