Surgical treatment of a 3-year-old child with severe combined catatrauma (fall from the 11th floor) and extensive trunk wound defect
Rattachement africain : ru, us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
This article presents a clinical observation of the successful treatment of a 3-year-old child with severe combined fall-related trauma (fall from the 11th floor), complicated by an extensive (30 × 20 cm) contaminated trunk wound defect with damage to internal organs. The key factor that determined the success in treating such a large wound, with documented microbial contamination but without secondary infectious complications, was the combined use of low-temperature argon plasma, vacuum therapy. The use of these methods at all stages of treatment, from initial surgical debridement to preparation for plastic reconstruction, provided a pronounced bactericidal effect, including control of nosocomial bacteria, destruction of bacterial biofilms, and rapid wound cleansing, which created optimal conditions for plastic surgery within a short time frame. For objective infection control, microbiological and molecular-genetic monitoring (using polymerase chain reaction) of the wound surface was actively employed. Serum was also examined for microbial metabolites and sepsis biomarkers, which made it possible to dynamically assess the response to therapy and to perform plastic procedures at an early stage, without purulent-inflammatory complications and without excessive escalation of antibiotic therapy. Such a rapid transition of an extensive wound process to the regeneration phase demonstrates the high effectiveness of the combined use of modern physical methods of wound treatment and laboratory monitoring techniques. This approach made it possible to achieve a favorable outcome in a child in a life-threatening condition, to avoid septic complications, and to discharge the patient from the hospital in a short period with a good result.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Surgical treatment of a 3-year-old child with severe combined catatrauma (fall from the 11th floor) and extensive trunk wound defect
- Date Crossref
- 21/07/2026
- Éditeur
- The National Academy of Pediatric Science and Innovation
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Research Institute of Emergency Childrens Surgery and Traumatology pays non établi dans la noticeStructure de recherche
-
V.A. Negovsky Scientific Research Institute of General Reanimatology pays non établi dans la noticeStructure de recherche
-
Children's National pays non établi dans la noticeÉtablissement de santé
-
Scientific Center of Children's Health pays non établi dans la noticeÉtablissement de santé
-
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma pays non établi dans la noticeStructure de recherche
-
V.A. Negovsky Federal Scientific and Clinical Center for Resuscitation and Rehabilitation pays non établi dans la noticeÉtablissement de santé
Research Institute of Emergency Childrens Surgery and Traumatology, V.A. Negovsky Scientific Research Institute of General Reanimatology et Children's National, avec 3 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.