Here - EWMA 2013

POSTER PRESENTATIONS
P 372
Poster: Case Study
ENZYME ALGINOGEL TREATMENT OF A SURGICAL WOUND DEHISCENCE
AFTER VULVECTOMY AND BILATERAL LYMPHADENECTOMY
Lieven Decavele 1
1 OLV Campus Asse-Aalst-Ninove (Aalst, Belgium).
Aim: To investigate if an enzyme alginogel can be used from wound bed preparation up
to complete wound healing, including a preventive approach during post-operative
radiotherapy.
Methods: A 64 year old woman was subjected to radical vulvectomy with bilateral
inguinal lymphadenectomy due to invasive and moderately differentiated squamous cell
carcinoma. The spinocellular carcinoma with vascular invasion had a maximal diameter
of 8.5 cm and an invasion depth of 2.7 cm. Adjuvant radiotherapy up to 50 Gray was
given.
Results: After surgery, wound dehiscence occurred. Using an enzyme alginogel it was
possible to create a moist environment, to debride fibrinous tissue and to obtain a
granulating wound bed. Re-epithelialisation was complete after 39 days. As a result,
radiotherapy could be started on the regenerated tissue.
Conclusions: By using an enzyme alginogel which contains alginates and an
antimicrobial enzyme system, the wound could heal completely. Full epithelialisation
could be obtained with a single product. No complications occurred during the wound
healing process. As an additional bonus, radiotherapy could be started quickly and
protection of the mucous membranes was also achieved by one and the same enzyme
alginogel.
POSTER: CASE STUDY
P 373
TREATMENT OF A VENOUS ULCER USING AN ENZYME ALGINOGEL IN
COMBINATION WITH SHORT STRETCH BANDAGE COMPRESSION
Poster: Case Study
Eric Roovers 1
1 ZNA Middelheim (Antwerpen, Belgium).
Aim: The management of venous leg ulcers is complex and requires a multidisciplinary
and systematic approach. Apart from local treatment, vascular diagnosis is necessary.
Thorough cleansing, a correct choice of dressings and compression therapy are the
pillars of local treatment.
Methods: A 78 year old female having developed a severe cough, dyspnea and fever
was sent to the ER. She was diagnosed with a venous leg ulcer that had already been
present for some months. This ulcer had been treated for more than one month with a
silver alginate and a one-week 2 layer compression system without any result. We could
see a filthy fibrinous and severely odorous wound. Venous problems were confirmed
after vascular diagnosis. However, there was sufficient arterial flow. Therefore
compression therapy could be continued. From day 1 we started to clean the wound
thoroughly with daily showers. We applied gauze compresses on the wound with a
polyhexanide biguanide solution for of 15 minutes. An enzyme alginogel was applied on
the wound to (1) stimulate debridement of the fibrinous slough, to (2) reduce the odour
by suppressing bacterial growth and to (3) stimulate reepithelialisation. The enzyme
alginogel was combined with short stretch bandages.
Results: After 4 days we saw a clean wound showing the first signs of reepithelialisation.
We noticed a further development of this re-epithelialisation after 11
days. After 18 days full re-epithelialisation was achieved.
Conclusions: The use of an enzyme alginogel in combination with thorough cleansing
and compression therapy promotes fast venous leg ulcer healing.
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