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E-POSTER PRESENTATIONS<br />
EP 484<br />
SEALING NPWT DRESSINGS MADE EASY<br />
E-Poster: Dressings<br />
Markus Duft 1 , Michaela Krammel 1 , Michaela M. Dziubanek 1<br />
1 Krankenhaus Göttlicher Heiland GmbH (Vienna, Austria).<br />
Aim: Achieving and maintaining a perfect seal is essential for effective NPWT.<br />
Sometimes this can be a real challenge due to the body area where the wound is<br />
located. Especially wounds near the anus, the genital region or the forefoot are hard to<br />
seal. Additional wound care products such as cohesive paste are often used to achieve<br />
a proper sealing of the dressing. The aim of this work is to test the latley introduced<br />
liquid soft silicone sealant and to discuss other indications for this new product.<br />
Methods: A clinical evaluation was carried out. Eight patients with NPWT (5 gauze, 2<br />
foam based and 1 epicutane NPWT) and four non NPWT patients were included and<br />
treated with the silicone sealant. Clinical and patient-centred outcomes were assessed.<br />
Results: The soft silicone sealant is easy to use and quick to apply. It proved to be<br />
positive in terms of achiving an ideal exsudat- and airtight seal for NPWT. The wear time<br />
of the NPWT dressings ranged from 7-9 days and there was no leakage. Used in stoma<br />
treatment to secure and seal it ensured that liquid stoole is unable to damage the skin.<br />
The removal of the sealant was easy and no skin stripping was seen. The patients did<br />
not report any pain while the dressings were removed.<br />
Conclusions: This silicone sealant overcomes the challange of sealing NPWT. It may<br />
help to reduce the need for dressing changes and this may be helpful to save money.<br />
Beside NPWT we see further indications for this product.<br />
E-POSTER: DRESSINGS<br />
EP 485<br />
Results of treatment with honey dressings in leg ulcer<br />
E-Poster: Dressings<br />
Elia Ricci 1 , Emanuela Giarratana 1 , Monica Pittarello 1 , Patrizia Amione 1<br />
1 Casa di Cura San Luca (Turin, Italy).<br />
Aim: We used a gel based on honey (*) on hard to heal lower limb chronic ulcers.<br />
Methods: We recruited 11 ambulatory patients with a single lesion of the lower limb. The<br />
subjects must already have been followed for a period of at least 4 weeks at the center<br />
without getting a successful result. Wounds with infection or dry eschar were excluded.<br />
The observation period was 4 weeks, etiological treatment should be carried out before.<br />
The dressing was performed with honey gel, cover with non-adherent gauze and<br />
bandage. The data collected included the PUSH 3.0, VAS for pain, WBP score, analysis<br />
of infection according to the WUWHS score.<br />
Results: 9 of 11 enrolled patients arrived at the end of study, 2 drop out due to burning<br />
sensation. In the observation period of 4 weeks 2/9 (22.2%) patients have obtained the<br />
resolution. the results relating to the PUSH 3.0 and the VAS are shown in figure 1. There<br />
were no infections throughout the observation period.<br />
Conclusions: The dressing has shown a good performance in safety, the two drop-outs<br />
are likely to be related to hypertonicity of the product. The resolution of the two cases<br />
after 4 weeks, given the premises is to be considered a good result, as we point at a<br />
distance of 4 more weeks there has been a resolution of 2 other wounds. Only one case<br />
did not respond to treatment was a lesion open for more than 5 years.<br />
(*) Revamil gel<br />
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