Here - EWMA 2013

POSTER PRESENTATIONS
P 286
Poster: Dressings
Efficiency and safety of using a polymeric membrane wound
dressing in patients with epidermolysis bullosa after a release
operation
Jan Bauer 1 , Anja Diem 2 , Martin Ploder 1
1 University Hospital for Pediatric and Adolescent Surgery Salzburg (Salzburg, Austria);
2 University Hospital for Dermatology (Salzburg, Austria).
Aim: Epidermolysis bullosa (EB) is a group of rare and inherited bullous disorders with
blister formation of the skin and mucosa. Those recurring traumas can lead to scarring
and clenched fists which have to be released surgically. A lot of different wound
dressings were used in our department following a release operation of the hand. Since
2011 we use a polymeric membrane wound dressing (PMW) in combination with silver
sulfodiazine. The aim of this study was to compare the outcome of patients after a
release operation of the hand treated with PMW (group I) in contrast to a historical
control group (group II).
Methods: In this study we included all the patients who were treated with a release
operation at our department in the last 10 years. Demographic data and postoperative
complications were compared between group I and group II.
Results: In the last 10 years 12 patients underwent a release operation in our
department. Some of them needed more than one operation leading to a total of 18
operations. 4 patients (4 operations) were in group I compared to 8 patients (14
operations) in group II. The mean age was 11.25±5.3 in group I compared to 11.14±5.1
in group II. Postoperative complications (bleeding, superinfection) occurred five times
and only in group II.
Conclusions: It is perfectly safe to use this new polymeric membrane dressing after a
release operation in patients with severe EB and leads to better results. Nevertheless
further studies are needed.
POSTER: DRESSINGS
P 287
PERFORMANCE OF A NEW SUPER ABSORBANT DRESSING IN
HYPEREXUDATIVE CONTEXTS
Poster: Dressings
Chloé Trial 1 , Caroline Arcens 1 , Christophe Roussel 2 , Julie Lano 3
1 Hôpital Lapeyronie (Montpellier, France);
2 3M France (Cergy-Pontoise, France);
3 Réseau Ville Hôpital Plaies et Cicatrisation (Languedoc-Rousillon, France).
Introduction: Although a good wound healing process is nowadays well recognized to
need a moist environment, one of the issues is to keep humidity at the right level while
preventing maceration. To do so, advanced dressings such as hydrocolloids, foams or
alginates provide a solution to absorb excess of exudates. However, in some situations
exudates level exceeds dressings absorption capabilities. These hyperexudative
contexts may lead to periwound skin irritation, wound infection, delayed healing and
psychosocial impacts.Several solutions can be proposed such as dressings association,
increase of dressing changes frequency or the choice of a dressing with higher
absorbency capability.
Aim: To evaluate performance of a new superabsorbant dressing* in various
hyperexudative contexts.
Methods: Recruitment of 10 patients among a French woundcare network presenting
with a wound for which usual treatment is not sufficient to manage exudates: wound and/
or periwound skin maceration, frequency of dressing changes too high. One month of
follow-up. Scheduled visits: change frequency, wound area, periwound skin status,
dressing aspect/slippage.
End of Study: investigator and patients satisfaction/preference.
Results: The new superabsorbent dressing* is able to manage hyperexudative wounds
with a better clinical outcome than usual advanced dressings. It allows to reduce
dressing changes while reducing maceration.
Conclusions: Exudates level is a key parameter and must be well evaluated throughout
healing process. When a hyperexudative context is diagnosed, treatment requires
specific solutions such as this new superabsorbant dressing* to prevent from exudates
complications that lead to wound and finally patient impairment.
*3M Tegaderm Superabsorber
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