Here - EWMA 2013

POSTER PRESENTATIONS
P 380
Case report of diabetic foot ulcer treated with NPWT*
Poster: Case Study
Ekaterina Zaytseva 1 , Alla Tokmakova 1
1 Endocrinology Research Centre (Moscow, Russia).
Aim: NPWT is a widely used method in different wound management.In this case report
we describe results of NPWT in type1 diabetic patient with Charcot foot and varicose
vein disease.
Case: 46 y.o.man with 33 years history of diabetes mellitus type1 (height 203 cm,weight
83 kg, BMI 20kg/m 2 ).Among the diabetic microvascular complications he has only distal
neuropathy (Vibration sense 3-4, decreased temperature and tactile sense) and diabetic
osteoartropathy according to X-ray and CT.HbA1c-7.4%. First symptoms of neuropathy
appeared 20 years ago, patient underwent different surgeries due to neuropathic lower
limb ulcers (1992-transmetatarsal amputation of left foot, 1993-surgical treatment of left
foot phlegmon, 2011-resection of exostosis of 1-5 metatarsal bones).The severity of
diabetic foot syndrome is due to diabetic osteoarthropathy and varicose vein disease.
In July, 2012 ulcers appeared in left foot, conservative treatment gave no results.
In January, 2012 patient had ascending thrombosis of left femoral vein, took
conservative treatment and refused from surgery. In control vein duplex scanning no
signs of thrombosis were received. In February, 2012 due to chronic osteomyelitis of the
2 metatarsal bone in left foot patient underwent surgical debridement. After that we used
NPWT* (-90 mmHg) during 2 weeks. 30 ml of exudate were removed in first week of
NPWT*.The wound size decreased in 2 times, the wound depth reduced in 3 times.
Then we used different atraumatic dressings and achieved the wound epithelization.
Result: NPWT* allows reducing time of complex treatment in diabetic foot with varicose
vein disease.
* VAC
POSTER: CASE STUDY
P 381
Poster: Case Study
A clinical case-series evaluation of a superabsorbent dressing on
exuding wounds
Frans Meuleneire 1 , Anne Hindhede 2
1 AZ St-Elisabeth (Zottegem, Belgium);
2 University Hospital (Örebro, Sweden).
Objective: To evaluate the capacity of a superabsorbent dressing* to manage excessive
exudate, thereby protecting peri-wound skin and facilitating wound healing.
Method: Patients with acute and chronic wounds of various aetiology were assessed,
and treatment of their wounds with the superabsorbent dressing was evaluated. The
starting point for this study was the needs of individual patients with exuding wounds
which were not progressing towards healing with their previous treatment.
Results: Thirty patients, aged 23–94 years, were included in this case series. Dressings
were changed from daily to once a week, based on the clinician’s judgment and the
needs of the individual patient. In many patients, frequent dressing changes were
needed initially but as the exudate levels decreased, the dressing could be changed at
longer intervals. Inspection of the saturation was possible without removing the dressing.
The absorbing efficiency of the dressing was considered to be very good by the
investigating clinician, even under compression, and blood, stool and urine was seen to
be absorbed by the dressing. Prior to using the superabsorbent, many patients suffered
from painful wounds and maceration, irritation, eczema and itching in the surrounding
skin, caused by the wound exudate. As the exudate levels decreased and the wounds
started healing, the patients felt less pain and less itching in the surrounding skin.
Conclusion: This case series suggests that the superabsorbent dressing promoted
wound healing in patients with highly exuding wounds, where previous therapy had
failed.
*DryMax Extra; Absorbest AB
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