Abstract book - ESPRAS

6. Cartographic and photographic course record of the woundsituation
7. final cover of the soft tissue defect with local flaps
8. continuation of intense storagetherapy and education of the nursing staff and
patients relatives
Results
Up to now 18 patients have been treated with the above-named therapy
concept. In this number included are 5 patients with an additional nutrition
programme. A definite advancement considering the woundsituation could be
observed within 15 patients. Two patients showed no substantial conditioning
of the wound.The operative defectcover succeeded with a lasting effect within
17 patients relapseless with typical flaps. One patient has been excluded from
clinical study for reason of complience.
Conclusions
The present data proof the benefit of the preoperative anus praeter-probe for
local skin and woundsituation.
In addition to that it reduces and simplifies the high nursing maintenance for
the nursing staff and the patients relatives.The malnutrition in relation to
decubitus ulcer has been controversially discussed. Four out of five PEGpatients
confirm the impression, that the woundsituation and general situation
can be positively influenced.
A failure of therapy was only noticed within patients that due to
contraindications were not able to receive a anus-praeter-probe.
I3. Self inflicted burns in Afghanistan: the fate of unhappy women
Echinard C., Leroy P., Brunel M.J., Azzizi MD., Tessier J.L.,
Humani Terra International , Marseille, France
The authors are reporting their experience about self inflicted burns in women
during the post taliban period en Afghanistan. 750 burns patients are treated
every year in the public hospital. 2/3 of them are women and among them, 250
are suicides by flame. Humani Terra International, a surgical N.G.O. has
discovered this problem immediatly after the fall of the taliban two years ago.
Surgeons, anaesthesists and nurses of the N.G.O. are going regularly to Herat
in order to treat and to set up a modern burn unit in collaboration with
Handicap International.
I4. Epibase: a new autologous keratinocyte cultures
Costagliola M.
Polyclinique du Parc, Toulouse, France
Cell therapy is becoming a very interesting solution to replace degenerated or
damaged tissues. In January 1998, Genevrier Laboratories inaugurated a new
department especially designed for the production of cultured cells as
therapeutic agents.Meeting clinician therapeutic needs by providing autologous
keratinocytes, fibroblasts and chondrocytes in the near future, represents the
primary aim of the Biotechnology department. Concrete cell-based products
are already being used for the treatment of burns and cutaneous chronic
wounds such as the EPIBASE graft; which corresponds to an epidermis sheet
composed of cultured autologous keratinocytes. Hard to heal venous leg ulcers
and necrotizing angiodermatitis benefit greatly from EBIPASE treatment.