Here - EWMA 2013

POSTER: DEVICES & INTERVENTION
Poster: Devices & Intervention
P 240
Use of hydrosurgical debridement system in
a chronic wounds unit
Joan-Enric Torra i Bou 1 , Marta Ferrer i Solà 2 , Eulàlia Fontseré i Candell 2 ,
Joan Espaudella i Panicot 2 , Fina Clapera i Cros 2
1 Smith&Nephew Iberia (Sant Joan Despí, Spain);
2 Hospital de la Santa Crreu (Vic, Spain).
Introduction: Debridement is a basic step in wound bed preparation. We have
introduced in our unit, in a residential care instiitution, the use of hydrosurgical
debridement* for the debridement of hard to heal wounds.
Results: We have used the hydrosurgical debridement* in 6 patients aged 72.7 years
with 12 wounds. These wounds requiered 18 debridement sessions with the
debridement*. (1,5 +7- 0,52 SD sessions per wound). Wounds ranged from 9.6 to 216
cm 2 .
After the 18 debridement sessions 11 wounds (91,7%) had a good evolution after a
week and 9 (75%) good evolution after a month. 8 wounds (66,7%) were treated after
hydrosurgical debridement with moist environment dressings, 8 wth autolougus paltelet
growth factors and in one case the wound had a bad evolution. Analgesia was used in
88,9% of the cases (topical in 89,9% and systemic and topic in 66,7%). In 11.1% of
debridement sessions patients did not refer pain, mild in 27,8%, moderate in 27,8% and
severe in 33%. Un hour after de debridement no pain was decribed in 88,9% cases and
mild in 11,1%. There no were bleeding of fever episodes after debridement sessions.
Discussion: Hydrosurgical debidement is an easy to apply and cost effective option and
well accepted by patients.
*Versajet, Smith&Nephew
P 241
Poster: Devices & Intervention
THE USAGE OF TOPICAL NEGATIVE PRESSURE* THERAPY FOR TREATMENT OF
DEEP STERNAL WOUND INFECTION- A SINGLE CENTER EXPIERENCE FROM
THE MIDDLE EAST
Bahi Hyasat 1 , Dina Sabha 1 , Fadi Sunna 1 , Samhar Weshah 1
1 Royal medical services (Amman, Jordan).
Aim: Deep sternal wound infection is a well known complication after cardiac surgery
which is associated with high morbidity, mortality and in-hospital stay. Topical negative
pressure* has been used widely for management of deep sternal wound infection either
as definitive treatment or bridging for muscle flabs. The objective of this study is to
describe our single center experience with topical negative pressure* for the treatment of
deep sternal wound infection.
Methods: Between June/2006 to August/2012 a total of 177 patients (125 males, 52
females) who underwent open heart surgery and used topical negative pressure* were
retrospectively reviewed. General treatment, patient outcome, demographic and surgical
data was collected and analyzed.
Results: The average duration of the vacuum therapy was 16 days (range 9-39 days)
with a median number of topical negative pressure* changes per patient was 6 (range 2
to 15). For patients who used the vacuum the In-hospital mortality was 2.3% (4 out of
177).In 84% of cases (149 patients) topical negative pressure* allowed direct successful
wound healing and in only 16 %(28 patients) further reconstruction by means of
unilateral pectoralis major muscle flap was needed to close the wound.
Conclusion: Topical negative pressure* therapy is a safe and excellent method for
treatment of deep sternal wound infection.The low mortality, life quality improvement and
rapid enhancement of wound healing proved its efficacy.Negative pressure wound
therapy should be considered as the first option for management of deep sternal wound
infections.
* Vacuum assisted closure (VAC) system
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
149