Treatment of burned children using dermal regeneration template with or without negative pressure.

Abstract

OBJECTIVE\nEvaluate 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.\n\n\nMETHOD\nRetrospective 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.\n\n\nRESULTS\nThe 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%.\n\n\nCONCLUSION\nNPWT 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.