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[Is primary would closure in septic pediatric surgery contraindicated?]
K Schäfer1, H A Beiler, G Benz
1Abteilung Kinderchirurgie, Chirurgische Klinik, Ruprecht-Karls-Universität, Heidelberg.
Langenbecks Archiv Fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1997
Insights
A new treatment for pediatric soft tissue abscesses involving gentamicin-impregnated collagen sponges and primary closure shows high success rates. This method significantly reduces recurrence, offering an effective pediatric abscess management strategy.
Area of Science:
- Pediatric surgery
- Infectious disease management
Background:
- Soft tissue abscesses are common in children.
- Traditional treatments can have high recurrence rates.
Purpose of the Study:
- To evaluate the efficacy of a novel treatment for pediatric soft tissue abscesses.
- To assess the recurrence rate using gentamicin-impregnated collagen sponges and primary closure.
Main Methods:
- Retrospective analysis of 25 pediatric patients treated since 1994.
- Surgical incision, complete debridement, and implantation of gentamicin-collagen sponge.
- Primary wound closure was performed.
Main Results:
- A low relapse rate of only two cases (8%) was observed.
- The treatment demonstrated high effectiveness in managing soft tissue abscesses in children.
Conclusions:
- Gentamicin-impregnated collagen sponge with primary closure is an effective treatment for pediatric soft tissue abscesses.
- This approach significantly minimizes the risk of abscess recurrence.
Abstract:
Since 1994, 25 children have been treated for abscesses of the soft issue. After the incision, a complete debridement was done, followed by implantation of a collagen sponge containing gentamicin and primary wound closure. Only two relapse were seen, which had to be re-opened.