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POSTER PRESENTATIONS<br />
P 198<br />
Our Experience With a spray cell technology* in Pediatric<br />
Population<br />
Poster: Acute Wounds<br />
Giancarlo Delli Santi 1 , Marco Palombo 1 , Agostino Bruno 1 , Michela Cempanari 1 ,<br />
Lucio Fasciani 1 , Paolo Palombo 1<br />
1 1Curn Center S Eugenio Hospital (Rome, Italy).<br />
Aim: The aim of this work was to evaluate the efficacy and safety of the spray cell<br />
device* in the pediatric population<br />
Methods: In the last 16 months we treated 13 children (age from 3 years to 13) for their<br />
burn from scald. Epithelial autograft harvested from an area close to the burnt surface.<br />
The material harvested was treated according to the spray cell technique* and applied to<br />
the burn.<br />
Results: Dressing were no longer required by the 8th post-operative day we highlighted<br />
a complete reepithelization by 10 days post-op, and satisfactory skin pigmentation and<br />
texture by 3 months post op.No major complication occurred.<br />
Conclusion: This procedure proved to be very effective in the management of young<br />
patient, as it isn’t very invasive, and allows a rapid functional and aesthetic recovery.<br />
* Recell ®<br />
References: A randomised controlled pilot study comparing Mepitel( ® ) and SurfaSoft( ® )<br />
on paediatric donor sites treated with Recell( ® ).Campanella SD, Rapley P, Ramelet AS.<br />
Burns. 2011 Dec;37(8):1334-42.<br />
A randomized trial comparing ReCell system of epidermal cells delivery versus classic<br />
skin grafts for the treatment of deep partial thickness burns. Gravante G, Di Fede MC,<br />
Araco A, Grimaldi M, DeAngelis B, Arpino A, Cervelli V, Montone A. Burns. 2007<br />
Dec;33(8):966-72.<br />
POSTER: ACUTE WOUNDS<br />
P 199<br />
Poster: Acute Wounds<br />
USE OF NPWT IN COMBAT WOUNDS AND LOSS OF SUBSTANCE BY EXPLOSIVE<br />
DEVICE<br />
Massimo Campioni 1<br />
1 Army Military Hospital Rome Italy- Wound Care Unit- Emergency Departement (Rome,<br />
Italy).<br />
Aim: The management of combat wounds and the management of loss of substance by<br />
explosive device is always very difficult to treat, either for the unique characteristics of<br />
these lesions as well as for the hostile environment where they are produced. We tried a<br />
viable therapy capable to manage the bacterial load, to stimulate the granulation process<br />
and to be easily manageable even in operative conditions always requiring an high<br />
standard of effectiveness.<br />
Methods: During the period between March 2012 and December 2012 we treated 6<br />
patients with traumatic injuries (combat wounds). Patients were subjected to qualitative<br />
and quantitative swab cultures, then was performed a targeted debridement lesion<br />
specific and tailored to the general conditions of the patients. All the patients undergone<br />
to NPWT. Different types of fillers have been used to meet the different needs of each<br />
lesion.<br />
Results: After thirty days of treatment we obtained in all cases an excellent debridement<br />
of the lesions and abundant granulation tissue and the reduction of bacterial load.<br />
Conclusions: The use of NPWT in combat wounds have shown to be an excellent<br />
therapy both for the stimulation of granulation tissue as well as for the control of bacterial<br />
load. A careful choice of the more suitable filler to the specific type of lesion was a<br />
decisive choice for wound healing.<br />
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