Here - EWMA 2013

EP 439
E-Poster: Acute Wounds
E-Poster: Acute Wounds
*Secuderm ®
EFFICACITY EVALUATION OF WATERPROOF AND PERMEABLE WOUND
THE AFTER CARE OF MEDICAL TATTOOS
DRESSING IN PRACTICING HIGH-LEVEL WATER SPORTS ACTIVITY
Ellen Kuijper-Kuip 1
Roguedas Hervé 1 , Hugues Lefort 2 , Pjotr Gryc 3 , Guiu Renaud 2
1 MediSkin Leiden & Editor in chief of NTVW (Leiden, Netherlands).
Anne-Marie Roguedas Contios 4
1
Sport and emergency liberal practitioner (Marseille, France);
Aim: For many centuries tattoos were applied for maturation rituals, status or simply as
2
Emergency Medical Service of Fire and Rescue Brigade of Paris (Paris, France);
decoration. In the early 1990s, physicians started to use tattoos for medical purposes, to
3
Visceral surgery service, University Hospital of Sarrebourg (Sarrebourg, France);
hide scars, trauma or surgery on eyebrows or lips. Not much later nipple reconstruction
4
Department of dermatology, University Teaching Hospital of Brest (Brest, France).
followed using tattoos.
Method: Based on the extensive experience of the author with medical tattoos,
Introduction: Practicing water sports exposes to injury. The wound is the source of
specifically of the areola a guideline was developed, which comprised: Assessment of
annoyance and getting worse can have negative impacts on performance objectives or
risk factors; Test treatment for prevention of allergic reactions; The use of sterile
may lead to complete sport disability. Our intention was to refer on benefits of waterproof
equipment and pigments; Effective aftercare; Clear instructions for home care. A thin
protection in the treatment of such wounds.
*hydrocolloid covered with a **film dressing was used, which was left in place for a
Patients and Methods: A prospective observational practice study comprising patients minimum of 5 days and a maximum of 7 days.
that had been treated by using a secondary wound dressing* when qualifying for the
Results: Over the past 5 years, the author performed 280 medical tattoos of which
Olympic Games. Among the data gathered were the characteristics of the patient,
n=232 were areolas with n=28 on both breasts. No infections were reported and in n=4
circumstances and evolution of the wounds, the benefits and limits of the dressing in
the dressing had to be changed once due to copious exudate production. One patient
relation to its application and wearing during the competition. The principal evaluation
with a known history of psoriasis had a flare under the dressing. The patients reported
criteria was the favorable evolution of the cicatrization process with no need to stop the
the dressing to be comfortable and were allowed to shower with the dressing in place.
sport activity.
Conclusion: Tattooing after breast reconstruction concerns manly those treated for
Results: There were twelve patients involved in one week. The injuries included mainly
carcinoma. They often had axillary nodes removed, radiotherapy and/or chemotherapy.
abrasions, excoriations or sutured wounds and were purely located on extremities:
The skin is fragile due to stretching with an expander. An infection can have dramatic
hands, feet, face and tibia. After the medical care to the wound the secondary dressing
consequences because the prosthesis must be removed. The protocol helped
was applied. The sportsmen resumed immediately their competition. The evolution
minimizing those complications.
marked as favorable was observed in the whole of our patients. Two patients developed
localized epidermidis rapidly handled by local antibiotics. None of the patients were
*Suprasorb H; Suprasorb F; Lohmann & Rauscher
penalized in the final placing.
** reference not available
EP 438
Discussion: It seems to be useful to protect the wound during the cicatrization process
by applying a waterproof and conformable dressing. This is particularly profitable for
water sports activities so that the physical activity could be continued.
E-POSTER: ACUTE WOUNDS
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
255