Abstract

FREGENAL, J.; LEON LLERENA, C.  and  REVUELTA GOMEZ, M.. Negative pressure therapy in the treatment of a giant melanocytic nevus in chilhood. Cir. plást. iberolatinoam. [online]. 2011, vol.37, suppl.1, pp.S11-S18. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922011000500003.

Giant congenital melanocytic nevi are very uncommon. Malignization incidence varies according to clinical series between 2 and 45%. This risk of malignization and psychosocial adaptation problems make necessary to begin the surgical treatment before school age. We present a 7-year-old child with a giant melanocytic nevus in the back and right flank, 30 x 19 cm in size. A therapeutic protocol using serial surgical interventions with minimal morbidity and an easy and painless postoperative care were developed. In the first surgery we removed the nevus with ultrasonic scalpel and used artificial dermis as a temporary coverage. In the second time we tried to complete the definitive coverage with autologous cultured skin, but we needed a third time to apply definitive ultrathin skin autograft. In this clinical case, VAC^® Therapy System has shown its effectiveness to fix dressings, painless safely and as an outpatient.

Keywords : Giant congenital melanocytic nevi; Wounds; Negative pressure therapy; Vacuum assisted therapy.

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