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IVAC aids wound healing in obese pediatric patients
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Using incisional wound vacuum-assisted closure in obese patients to reduce infection after major hip or pelvic surgery may reduce these complications in obese pediatric patients as well, according to this study.
“The use of primary [incisional wound vacuum-assisted closure] IVAC after major hip/pelvic surgeries in obese children with BMI greater than 25 kg/m² may reduce the risk of superficial or deep wound infection and abnormal hypertrophic scar formation,” the researchers stated in the abstract. “Larger randomized trials controlling for potentially confounding variables will be required to confirm these findings.”
Researchers studied 28 patients and applied IVAC to 14 patients, recording infection, wound dehiscence, scar type/size and seroma/hematoma formation. Although no patients had superficial or deep surgical site infection (SSI) in the IVAC group, there were 4 patients with superficial SSI and 2 patients with deep infection in the control, according to the abstract. In the control group, 4 patients also had hypertrophic scar formation.
Disclosure: The authors have no relevant financial disclosures.
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