Ekstravazasyon sonrası oluşan cilt nekrozunun hidrocerrahi (Versajet) sistemi ile debridmanı: Dokuz yenidoğandaki deneyimlerimiz

Yıl 2014, Cilt: 48 Sayı: 1, 6 - 9, 14.03.2014

Nazan Sivrioglu Saime Irkoren

Öz

Amaç: Çalışmamızın amacı, kalsiyum glukonat ekstravazasyonuna bağlı cilt nekrozlarında Versajet hidrocerrahi sistemi ile uygulanan debridmanın sonuçlarını değerlendirmekti.
Çalışma planı: Kalsiyum glukonat ekstravazasyonu olan 9 yenidoğan (ortalama yaş: 26 gün; dağılım: 1 gün–3 ay) çalışmaya alındı. Yaralanma bölgesi 3 hastada ayak, 5 hastada el ve el bileği, bir hastada ise saçlı deri idi. Tüm hastalarda cilt nekrozları genel anestezi altında Versajet hidrocerrahi sistemi ile alttaki dermis tabakasına zarar vermeden debride edildi.
Bulgular: Tüm yaralar ortalama 14 gün içinde tam olarak epitelize olup spontan iyileşti. Hiçbir hastada ikinci bir debridmana gerek duyulmadı. En az 1 yıllık takip süresi sonunda minimal skar gelişimi olduğu hiçbir hastada hipertrofik skar dokusu gelişmediği gözlendi.
Çıkarımlar: Versajet hidrocerrahi sistemi kalsiyum glukona ekstravazasyonuna bağlı cilt nekrozlarının debridmanında etkili bir yöntem olarak gözükmektedir.

Anahtar Kelimeler

Versajet hidrocerrahi sistemi; ektravazasyon; Ca glukonat; infant.

Versajet hydrosurgery system in the debridement of skin necrosis after Ca gluconate extravasation: report of 9 infantile cases

Öz

Objective: The aim of the study was to evaluate the results of debridement with Versajet hydrosurgery system in patients with skin necrosis after ca gluconate extravasation.
Methods: We evaluated nine infants (mean age: 26 days; range: 1 day to 3 months) with calcium gluconate extravasation injury. Site of injury was the foot in 3 cases, the hand and wrist in 5 and the scalp in one. In all patients the skin necrosis was debrided with Versajet hydrosurgery system under general anesthesia without damaging the dermis layer.
Results: Following debridement all wounds healed spontaneously by re–epithelization and the mean time of full epithelization was fourteen days. No patient required a second debridement. At a minimum follow–up of 1 year minimal scar formation was noted and there was no hypertrophic scar.
Conclusion: Versajet hydrosurgery system appears to be effective in the debridement of skin necrosis due to ca gluconate extravasation in pediatric population.

Anahtar Kelimeler

Versaje hydrosurgery system, extravasation, Ca gluconate, infant

Kaynakça

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