Here - EWMA 2013

P 336
CLINICAL AND COST EFFECTIVENESS OF THE NEGATIVE PRESSURE WOUND
THERAPY IN PREVENTION OF SEPTIC COMPLICATIONS IN TRAUMATOLOGY
Alexander Ermolov 1 , Dmitriy Sychev 2 , Vladimir Obolenskiy 2 , Alexey Semenistiy 2 ,
Alik Karpenko 2
1 RNRMU (Moscow, Russia);
2 City Hospital # 13 (Moscow, Russia).
Aim: To assess the effectiveness of negative pressure wound therapy (NPWT) in
prevention of septic complications (SC) in traumatology.
Poster: Prevention
Materials and Methods: Analysis of treatment outcomes of 132 patients with open
fractures of the limbs (OFL) was performed. All patients underwent primary surgical
wound treatment (necrectomy, cleansing with antiseptics, covering the bone with soft
tissue, fasciotomy) together with the empirical antibacterial therapy for hemodynamic
stabilization and stabilization of the fracture with standard fixation rods*; repositioning
and final fixation was performed under EOC control. 68 patients (experimental group: 40
males, 28 females, mean age was 48.3±2.2 years) at the end of the surgical procedure
were treated with NPWT; dressing change every 2-3 days. The control group: 64 patients
(45/19, 40.7±1.7) with traditional topical antiseptics were used. Following formation of
granulation tissue in the wound, secondary sutures were applied and at the same period,
the final osteosynthesis.
* Veinoplus ®
Results: No cases of wound complications were observed in the experimental group
while in the control group 14.1% of wounds have become complicated. Mean time to the
secondary sutures applicationin patients of the experimental group was 7.5±0.9 days
and in the control – 9.1±1.3 days. Mean duration of hospital stay was 26.5±1.4 and
34.6±2.4 days, respectively. Mean treatment cost per patient was EUR 1888.28 and
EUR 2226.55, respectively.
Conclusions: NPWT is an effective method for prevention of SC in patients with OFL.
* Synthes or Smith&Nephew
Poster: Prevention
P 335
ELECTROMYOSTIMULATIONIN PREVENTION OF THROMBOEMBOLIC
COMPLICATIONS
Vladimir Obolenskiy 1 , Kirill Lobastov 2 , Leonid Laberko 2 , Pulad Leval 1
1 City Hospital # 13 (Moscow, Russia);
2 RNRMU (Moscow, Russia).
Aim: To assess the efficiency of electromyostimulation (EMS) in prevention of
thromboembolic complications (TC).
Methods: Analysis of treatment outcomes of 60 patients aged 40 to 85 years who
underwent a prolonged surgery (mean duration 4±2.1 hours) under endotracheal
anesthesia and high risk of TC was performed. The patients were distributed randomly
into two comparable groups with 30 patients in each group; for all patients moderate
elasticity compression bandage was applied on the calf and, in the absence of
contraindications, direct anticoagulants were administered (73% of patients in the
experimental group and 77% in the control group); patients in the experimental group
received EMS treatment which was 5 sessions a day. EMS treatment was performed
with the use of a portable autonomous electro-stimulation device*.
Results: In the experimental group 1 case (3.3%) of deep vein thrombosis of the calf
without signs of pulmonary embolism wasobserved, while in the control group there
were 10 cases of thrombosis (33.3%) and 2 cases of pulmonary embolism (6.7%), p =
0.008.
Conclusions: The use of EMS in postoperative period significantly reduces frequency
of TC.
POSTER: PREVENTION
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
197