ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT GHÉP DA TỰ THÂN ĐIỀU TRỊ VẾT THƯƠNG MẤT DA VÀ BỎNG SÂU Ổ TRẺ EM TẠI BỆNH VIỆN NHI ĐỒNG THÀNH PHỐ

Abstract

Introduction: In the General Surgery Department of the City Children's Hospital, pediatric burn cases account for approximately 1/4 to 1/5 of the total patients admitted. Autologous skin grafting is a common surgical technique employed in the treatment of pediatric burns. However, there is a lack of comprehensive studies assessing the outcomes of this technique in the hospital setting. Consequently, this study aims to evaluate the results of autologous skin grafting in the management of skin loss and deep burns in pediatric patients at the City Children's Hospital. Materials and Methods: This prospective descriptive case series was conducted from June 2023 to December 2023. A total of 35 pediatric patients, comprising 18 (51.4%) males and 17 (48.6%) females aged 1-15 years, underwent autologous skin grafting for burns or skin injuries at the City Children's Hospital. Among them, 13 cases required grafting after burns, and 22 cases presented with wounds involving skin loss (including 2 cases resulting from vascular compromise after internal medical treatment). All cases underwent scheduled surgical procedures. Initial wound sizes varied significantly, especially in cases of skin loss due to considerably larger wounds compared to burns. Results: A high proportion of patients, 85.17%, exhibited successful engraftment of the graft onto the wound bed in both burn and skin loss cases. Three cases demonstrated partial engraftment with less than 70% viable graft area, constituting 8.57% of the total. Overall, 94.29% of patients achieved satisfactory mobility after surgery, and no cases exhibited postoperative mobility impairment. Conclusion: In cases of skin loss and deep burns in pediatric patients, the early removal of necrotic tissue and immediate coverage of wounds through autologous skin grafting or temporary coverage materials proved successful, contributing to patient survival and enhancing overall quality of life.