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POSTER PRESENTATIONS<br />
P 392<br />
The Use of Collagen/ORC/Silver in Fournier Gangrene<br />
Poster: Case Study<br />
Dilek Senen 1 , Asuman Onuk 2 , Abdullah Erkan Orhan 3 , Umran Muslu 4 , Ahmet Demir 4<br />
1 Antalya Government Hospital, Department of Plastic Surgery (Antalya, Turkey);<br />
2 Antalya Government Hospital, Department of Reanimation (Antalya, Turkey);<br />
3 Edirne Government Hospital, Department of Plastic Surgery (Edirne, Turkey);<br />
4 Antalya Government Hospital (Antalya, Turkey).<br />
Introduction: Fournier Gangrene is the fulminant necrotizing fasciitis in penoskrotal<br />
area. Surgically we accept them emergent and it can end up with 20% of mortality. At the<br />
end of radical debridement and granulation it can be reconstructed.<br />
Study: 55 year old male DFU(DiabeticFoot Ulcer) patient registered to our clinic with<br />
pain,edema,and fever. He had an open wound in scrotal area including abdominal<br />
inferior. In his wound culture we observed Acinetobacter baumaniii so we had treated<br />
him with contact isolation and proper antibiotherapy. At the end of antibiotherapy we<br />
started Collagen/ORC/Silver treatment in his wound. We had applied Collagen*/ORC/<br />
Silver every three days for two weeks. At the end of two weeks granulation was<br />
promoted fastly,and we grafted.<br />
Conclusion: The collagen* is a matrix modulation of protease inhibitor. Our clinic<br />
achieved very good and efficient result with the collagen* in a short time compared with<br />
standard procedures.<br />
*Promogran-Prisma<br />
POSTER: CASE STUDY<br />
P 393<br />
Poster: Case Study<br />
TREATMENT OF GUNSHOT INJURY OF THE FOOT USING NEGATIVE PRESSURE<br />
WOUND THERAPY (NPWT)<br />
Marin Marinovic 1 , Josip Spanjol 1 , Stanislava Laginja 2 , Nikola Grzalja 1 , Damir Stiglic 1 ,<br />
Darko Ekl 1 , Endi Radovic 1 , Tedi Cicvaric 1<br />
1 University Hospital of Rijeka (Rijeka, Croatia);<br />
2 General Hospital of Ogulin (Ogulin, Croatia).<br />
Introduction: We have decided to present a patient with a complex foot injury caused<br />
by hunting firearm in self-inflicted accident. A 42-year-old male presented with 12-gauge<br />
shotgun wound to his left foot.<br />
Aim: In our case with gunshot wound with bone fracture of metatarsals we used NPWT<br />
for preparing wound bed for skin grafting as a final treatment procedure and wound<br />
closure.<br />
Methods: Negative pressure wound therapy (NPWT) was applicated on the 1st<br />
postoperative day. The starting therapy was continuously 125 mm Hg of vacuum.<br />
Hydrocoloid dressing was placed on the wound edge as a skin protection. On the first<br />
change of the NPWT dressing on 4th postoperative day the wound was without necrotic<br />
tissue and granulations appeared. The NPWT was continued in intermittent mode (5min<br />
ON – 2 min OFF), still on -125 mm Hg. We continued to change NPWT dressing every<br />
four days for forty days.<br />
Results: After four weeks the defect was filled with granulation tissue, tendons and<br />
bones were fully covered and split thickness skin graft was applied. Skin graft was<br />
additionally fixed with NPWT using continuous therapy at -100 mm Hg for a period of<br />
four days. Forty days after injury there was a complete healing of all soft tissue. Control<br />
X-ray showed good bone healing process.<br />
Conclusion: NPWT as a medical treatment option in wound healing after gunshot injury<br />
of the foot can be a good choice especially in combination with active surgical treatment<br />
it can produce excellent results.<br />
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