title: Nonoperative Management of Extravasation Injuries Associated With Neonatal Parenteral Nutrition Using Multiple Punctures and a Hydrocolloid Dressing.
abstract: BACKGROUND
  Neonatal extravasation injuries are often associated with peripheral parenteral nutrition. Several treatment modalities have been developed and used for managing these injuries with variable results. However, there is a lack of consensus regarding the management of neonatal extravasation injuries. The aim of this paper is to introduce a new nonoperative method for the treatment of neonatal extravasation injuries associated with parenteral nutrition.
  
  
  METHODS
  The authors made multiple punctures on the extravasated wound using a No. 11 scalpel blade tip and applying a DuoDERM Extra Thin (ConvaTec Inc, Princeton, NJ) dressing, a hydrocolloid dressing. The dressing was changed every 6 hours on the first day, and dressing changes were continued with decreasing frequency according to the amount of exudate until the wound healed. After the devitalized tissue began to demarcate and autolyse, surgical debridement was gradually performed.
  
  
  RESULTS
  Twelve neonatal extravasation injuries, which occurred between November 2010 and June 2014, were evaluated. The mean follow-up duration was 10 months. The average duration of treatment for wound healing was 25 days. All wounds healed without func- tional deficits and conspicuous scars.
  
  
  CONCLUSIONS
  The authors suggest their new method of using multiple punctures and a hydrocolloid dressing is an easy, effective, and minimally invasive treatment for neonatal extravasation injuries associated with peripheral parenteral nutrition, and it can be used as an alternative treatment option.
authors.affiliation: Department of Plastic and Reconstructive Surgery, School of Medicine, Kangwon National University, Chuncheon, Korea.
authors.forename: Kun-Yong
authors.initials: KY
authors.lastname: Sung
authors.affiliation: Department of Plastic and Reconstructive Surgery, School of Medicine, Kangwon National University, Chuncheon, Korea.
authors.forename: Sang-Yeul
authors.initials: SY
authors.lastname: Lee
mesh_terms: D047070:Bandages, Hydrocolloid; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000628:therapy*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010288:Parenteral Nutrition / Q000009:adverse effects*; D011677:Punctures / Q000379:methods*