Abstract book - ESPRAS

P 13. Our experience in wound closure with V.A.C.
Jurišić D., Pirjavec A.
Plastic Surgery Unit, Clinical Hospital Center, Rijeka, Croatia
V.A.C. therapy is new non invasive meted, which acts on the principle of
localized and controlled negative pressure, either continuous or intermittent
that acts over the inert medication made of medical polyuretan. This
material is porous, sterile, can be adapted to the wound size and does not
contain any medicaments.
Patient preparation
- necrectomy,
- shaving of the surrounding skin (if possible),
- flush the wound with the saline solution,
- dry up the skin around the wound,
- choose appropriate length of the medication,
- take care that the tubus is not placed to close to the wound.
Changing the medication
- every 48 hours ( if not indicated differently,
- every 12 hours if the wound is infected (CFU >150).
Changing the container with the exudat
- when fluid level reaches 250cc,
- once a weak no matter of fluid level.
Indications
- ulcus cruris,
- decubital wounds,
- preparation for surgical procedures (transplantation),
- deep combustions,
- infected surgical wounds.
Contraindications
- fistulae,
- osteomielytis
- malignant wounds.
Results
- the pictures of pre and post therapy status will be shown
P 14. Comparison of transthecal to traditional block for anesthesia
of the finger
Keramidas E., Rodopuolou S., Tsoutsos D. Miller G., Ioannovich I.,
Plastic Surgery, Northern General Teaching Hospital, Sheffield, UK
Introduction
Chiu in 1990 was the first to desccribe the transthecal (TT) digital block,
using the flexor tendon sheath for anesthetic infusion. Our purpose was to
compare the TT digital block with the traditional block (TD) with regards,
the onset of time to achieve anesthesia and pain during the infiltration
Materials and Methods
A randomized double blind study was performed in 50 patients to compare
the transthecal (TT) to traditional subcutaneous infiltration (TD)
techniques of digital block anesthesia. All the patients had sustained injury
involving two or four fingers of the hand. Each patient served as his/her