Here - EWMA 2013

Free Paper Session: Negative Pressure Wound Therapy
170
NPWT in the treatment of acute and chronic wounds
Boris Chaparian 1 , Sergey Gorunov 2 , Sergey Zhidkikh 2
1 Russian National Research Medical University named after N.I. Pirogov (Moscow,
Russia);
2 Russian National Research Medical University of a name of Pirogov Municipal Clinical
Hospital # 15 M (Moscow, Russia).
Aim: Assess the efficiency of the NPWT in the treatment of acute and chronic wounds of
various origins in 112 patients. The aim of this work is to improve the results of treatment
of acute and chronic wounds of various origins by the use of NPWT.
Materials and Methods: We used NPWT unit* and a super absorbent drainage film**.
112 patients were treated with acute and chronic wounds of various origins. Average age
52 ± 3,1 years. Men 52%, women 48%. The average area of the wound defect at the
time of study entry was 206 cm 2 . Pressure used from – 60 to – 150 mm Hg. The period
of usageis 2 days to 15 days. Average period 7,8 ± 2,2 days. The average frequency of
dressings 3,1 ± 0,6 days.
Results: Analysis of the results revealed a significant reduction in terms of the
inflammatory phase of wound cleansing and defects. Also experiencing a rise in local
blood circulation, the appearance of granulation tissue at 3 ± 1,2 and reduce the area of
wounds. When processing of the data showed a reduction in health care costs, reduced
periods of antibiotic therapy and reduced the time of hospital treatment to 5 ± 2,4 days.
Conclusions: The use of NPWT is an effective treatment of acute and chronic wounds
of various origins, reduces the cost of treatment and reduces the time of hospital
treatment.
*VivanoTec ®
**Suprasorb CNP
171
Free Paper Session: Negative Pressure Wound Therapy
NEGATIVE PRESSURE THERAPY ASSOCIATED WITH ARTIFICIAL DERMIS FOR
NECROTIZING FASCIITIS SURGICAL TREATMENT
Eric Dantzer 1 , Safia Abed 1
1 H.I.A. Sainte Anne (Toulon, France).
Introduction: Since 1981 artificial dermis (AD) are used for burn patients and now for
carcinoma trauma and infectious diseases as necrotizing fasciitis (NF).
Material and Method: From 2004 to 2012 negative pressure therapy (TPN) was
associated with AD for surgical treatment of NF. After antibiotherapy, patients were
excised and a TPN was immediately applied. Final skin cover was done with AD.Follow
up was clinical and with photography.
Results: 10 patients 8 males and 2 females mean age 50YO suffering of lower legs NF
were treated. After large surgical excision muscles and tendons were exposed. TPN was
applied for local disinfection and surgical revision. Final skin cover with AD was
performed when disinfection and viable wound bed obtained. The mean delay between
the NF diagnosis and the AD graft was 27 days surfaces grafted were 125 cm 2 to
1280 cm 2 . Local bacteriological assessment showed G – bacteria staphylococcus aureus
and streptococcus pyogenes. Graft take was total. Long-term follow up shows good
functional results. This surgical strategy is innovative for the treatment of NF. Surgery is
always necessary resulting in very large and deep defects; without local or free flaps we
could cover exposed muscles and tendons. The final skin surface is supple without deep
adherences and permits a rapid healing process and functional recovery. Hospital stays
are reduced.
Conclusion: AD permit to obtain an “in vivo” full thickness skin; whatever the surface to
treat, with simple, rapid and good cosmetics and functional results for patients suffering
of NF and many co-morbidity diseases.
FREE PAPER SESSION: NEGATIVE PRESSURE WOUND THERAPY
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
105