Paediatric Wound Management and Soft Tissue Reconstruction

Description

This presentation by Shehan Hettiaratchy covers pediatric wound management and soft tissue reconstruction, focusing on the unique considerations when treating war-injured children. It begins with a discussion of the UK military experience with pediatric casualties, emphasizing that pediatric trauma is less common yet can be more distressing for medical teams compared to adult cases. Hettiaratchy notes the physiological differences between children and adults and stresses that while surgery techniques may be similar, pediatric patients require special attention due to their smaller blood volume and differing anatomy. He highlights that pediatric anesthetists play a critical role due to their specialized knowledge in handling children, particularly regarding blood management and temperature control during surgeries. The presentation outlines the types of injuries seen in children from conflict settings, noting that while the injuries may be similar to those in adults, the management approaches must reflect pediatric-specific needs. The speaker also details surgical procedures, highlighting the importance of bones, nerves, and soft tissue management in pediatric patients. Case studies are shared to illustrate various surgical interventions, including flap surgeries and the considerations necessary for optimal healing as these children grow. Ultimately, the talk concludes with a clear assertion that despite the physiological differences, the anatomical similarities between children and adults allow for a surgical approach that can effectively treat pediatric trauma.

DOI: 10.1302/3114-240609

Specialties