Management of extensive subcutaneous emphysema using vacuum-assisted closure therapy

We present a 7 years old came with a complaining of shortness of breath (SOB) with neck swelling and he was mildly distressed. CT scan showed right pneumothorax, pneumomediastinum, pneumopericardium and extensive subcutaneous emphysema. In the operating room (OR), intercostal chest tubes were inserted bilaterally and bilateral transverse sub-clavicular incisions connected to a vacuum assistant wound closure device (VAC). VAC was found to be effective technique in the management of a massive subcutaneous emphysema.
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research