Here - EWMA 2013

POSTER PRESENTATIONS
P 412
Poster: Case Study
A case study of the care of a 53year old man with infected
Hidradenitis Suppurativa using a silver alginate dressing to aid
healing and reduce bacterial contamination
Sandra Brain 1 , Elaine Gibson 2
1 Queen Alexandra Hospital (Portsmouth, United Kingdom);
2 Aspen Medical (Redditch, United Kingdom).
This patient with a 23 year history of Hidradenitis Suppurativa was selected as part of a
wider study across 11 centres within the UK involving a total of 49 patients examining
the role of calcium alginate dressings in patients with haemopurilent of haemoserrous
discharge in chronic wounds. (HS) also known as‘Acne Inversa‘.
He was admitted to Queen Alexandra Hospital on the 23/03/12 for management of
sepsis and radical excision of 20 abscesses with associated fistulas across his buttocks
and groin. This was classed as stage III Hidradenitis. He had chronic skin changes all
over his buttocks with tracks draining bloody puss fluid. Some wounds tracked full
thickness in natal cleft and both groins. He complained of constant pain and required
opiates and anti-inflammatory medication in addition to Entonox for dressing changes.
Surger: He had excision of all pus-filled abscesses, and hard sebaceous lumps and
colonoscopy to 60 cms ruling out a low bowel fistula. More than 20 tracks of
subcutaneous tissue and full thickness wounds were exposed and layed open over both
buttocks, natal cleft, both groins, scrotum, and inner thighs. 7 weeks after admission, he
was discharged home to community care. He continues to see the tissue viability and
surgical team, is making steady progress and the wounds have almost healed.
POSTER: CASE STUDY
P 413
Poster: Case Study
BIOENGINEERING TISSUE AND TOPICAL NEGATIVE PRESSURE IN TREATMENT
OF ACUTE WOUNDS
Jutta Renate Lehmann 1 , Elena Bondioli 1 , Andrea Carboni 1 , Catuscia Orlandi 1 ,
Beatrice Tavaniello 1 , Davide Melandri 1
1 Burn Centre, Regional Skin Bank and Cell Factory, M. Bufalini Hospital (Cesena, Italy).
Aim: In clinical settings to enhance the engraftment and repopulation of these
biomaterials, between the various advanced dressings using topical negative pressure
(TNP), in its various types. The negative pressure is instrumental in overseeing the
repair of large wounds with loss of substance.
Method: In the study uses the TNP standard and TNP characterized by irrigation of the
wound with subsequent aspiration of exudate with or without the use of biomaterials in
loss of substance with exposure osteo-tendon. The 4 cases presented are: necrotizing
fasciitis of the lower limbs, wound of firearm of upper limb, vascular disease of the foot
and lower limb bone exposure with Wegener’s granulomatosys. Among the biomaterials
used in the study there is the scaffold. One is made from a minimum manipulation of
dermis from donors human and, other, is dermal substitute biosynthetic of animal origin.
Result: The significant cases of four patients with difficult healing wounds, responded
significantly in terms of fast and quality of healing. The use of TNP reduces the healing
time favoring a more rapid engraftment of biomaterial resulting cell repopulation of the
same. In particular the TNP with irrigation favors the cleaning of contaminated wounds
and infected leading to a more rapid formation of granulation tissue compared to TNP
standard.
Conclusion: The data presented show that the grafting of human and/or biosynthetic
scaffolds with TNP can take root on the receiver after only 21 days and be completely
revascularized and wound closure.
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