Successful Postoperative Treatment of a Lumbosacral Ulcer in a Neonate after Myelomeningocele

Wound care in neonates demands special awareness of the anatomical and physiological characteristics of their skin, and the danger of adverse mechanical and toxicological events. Here, we present the case of a full-term neonate born with myelomeningocele. Following the closing surgery on the 3rd day...

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Bibliographic Details
Published in:Case reports in dermatology 2014-02, Vol.6 (1), p.54-58
Main Authors: Meszes, Angéla, Tálosi, Gyula, Máder, Krisztina, Kiss, Judit, Sánta, Csilla, Kemény, Lajos, Csoma, Zsanett
Format: Article
Language:English
Subjects:
Myelomeningocele
Neonate
Published: February 2014
Ulcer
Wound management
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Summary:Wound care in neonates demands special awareness of the anatomical and physiological characteristics of their skin, and the danger of adverse mechanical and toxicological events. Here, we present the case of a full-term neonate born with myelomeningocele. Following the closing surgery on the 3rd day of postuterine life, the operated region became inflamed, the sutures opened and a necrotic discharging ulcer developed. Besides parenteral antibiotic treatment based on the microbiological findings, intelligent hydrofiber dressings were applied to the wound with regard to the special characteristics of wound care in neonates. After 72 days, the ulcer had healed with a small residual scar, and the infant is currently demonstrating normal physical and mental development.
ISSN:1662-6567
1662-6567
DOI:10.1159/000360128