Here - EWMA 2013

POSTER PRESENTATIONS
P 234
Poster: Devices & Intervention
EVALUATION OF ERGONOMIC ASPECTS IN THE DAILY ROUTINE OF A NEW
FOAM WITH A WOUND CONTACT LAYER
Bernhard Lange-Asschenfeldt 1 , Annette Schätzle 2 , Christiane Zell 3 , Gabriele Stern 4 ,
Ulrike Wagner 5 , Reinhard Schaupp 6 , Martin Abel 3
1 Clinic for Dermatology, Venerology and Allergology (Berlin, Germany);
2 Wund-Kompetenz-Zentrum Freiburg GmbH (Freiburg, Germany);
3 Medical & Regulatory Affairs, Lohmann & Rauscher GmbH & Co KG (Rengsdorf,
Germany);
4 ATZ Stern Ambulantes Therapie-Zentrum (Bocholt, Germany);
5 W-Konzept Wundzentrum (Wetzlar, Germany);
6 Gemeinschaftspraxis Hammelburg (Hammelburg, Germany).
Introduction: An innovative new CE-marked foam dressing with a wound contact layer*
was developed to prove the ergonomic aspects in the daily routine.
Material & Methods: In a multicentre (5), international post marketing surveillance study
(PMS) on 28 patients with superficial to deep moderately exuding acute surgical or
chronic wounds the foam* was used over one week (three visits).
Results: The foam dressing* showed very good results in the assessment of wound
base, wound edge and wound surrounding skin. The coating of the wound base
decreased from 75% to 54%. At the wound edges no scaling occurred, hyperkeratosis
decreased from 7.1 % to 0%, the redness from 14.3% to 3.6%, inflammations from 3.6%
to 0%. No blistering, dryness or swellings occurred in the wound surrounding skin.
Haematoma, inflammation, scalings, macerations and edema decreased. The exudation
was reduced from middle to weak and no exudation leakage from the foam dressing was
observed. Simplicity of application and wearing behaviour were rated with ‘excellent’ to
‘good’. A pain reduction (VAS 0-10) from 49% to 23.6% was observed.
Conclusions: The foam* is very good tolerable, safe, comfortable and easy to apply. It
prevents adhesion to the wound and leads to a pain reduction during dressing change.
* Suprasorb ® P with a wound contact layer, Lohmann & Rauscher
POSTER: DEVICES & INTERVENTION
P 235
NEGATIVELY CHARGED MICROSPHERES FOR THE TREATMENT OF
PROBLEMATIC WOUNDS & PATIENTS
Poster: Devices & Intervention
Yaron Shoham 1 , Yuval Krieger 1 , Eldad Silberstein 1 , Alexander Bogdanov-Berezovsky 1 ,
Eli Regev 2 , Oren Weissman 2 , Josef Haik 2
1 Department of Plastic and Reconstructive Surgery and Burn Unit, Soroka University
Medical Center (Be’er Sheva, Israel);
2 Department of Plastic & Reconstructive Surgery, Intensive Care Burn Unit, Sheba
Medical Center (Tel Hashomer, Israel).
Background: Problematic wounds such as those that involve severe injury mechanisms,
exposed bones, tendons or hardware, and wounds in problematic patients such as those
suffering from impaired wound healing or patients suffering from large open wounds
when reconstructive surgery is not an option, are a great treatment challenge. Negatively
Charged Microspheres* (NCM) local application have recently become available for the
treatment of problematic and hard to heal wounds.
Aim: To report our experience with treating problematic wounds and patients with NCM.
Methods: A dozen cases of problematic wounds (incuding severe avulsion-crush-burn,
post irradiation/mastectomy necrosis, exposed cranial bones, combination of PVD,
trauma, chronic and acute wounds with exposed bones/tendons, and exposed surgical
hardware) and wounds in problematic patients (post steroid induced atrophic skin and
refusal to undergo reconstructive surgery for a large defect) were treated with NCM.
Wounds were photographed and monitored for healing progress and closure.
Results: Surprisingly, these wounds resolved by accelerated granulation tissue
formation and closure. No complications or side effects were encountered.
Discussion: Besides the classical entities of chronic ulcers (venous, arterial, pressure
and diabetic) and wounds that can be closed primarily there are wounds of mixed
etiologies and conditions that will gravely interfere with their healing, often necessitating
extensive surgical reconstructive procedure. A simple, non surgical solution for such
cases may be valuable in clinical practice.
Conclusion: NCM offers a new and efficacious way to deal with problematic wounds
and patients.
*NCM is distributed as PolyHeal by MediWound LTD
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