Here - EWMA 2013

E-POSTER: INFECTION
E-Poster: Health Economics & Outcome
EP 506
Cost Benefit of APPLIANCE POLARIZED light (480-3400 nm)
with holistic effects in the Patients with Chronic wounds
Jasmina Begic 1
1 Dermatovenerology Clinic University Clinical Centar (Sarajevo, Bosnia and
Herzegovina).
Introduction: Chronic wounds are important medical problem.5%-8% of the world
population suffers from venous diseases. European study evaluating the total cost of
therapy of chronic wounds is 2,6% of cost of HNS. The cost of teatment for one month
for the patients with chronic wounds on the Dermatology Clinic of CCsarajevo in 2007
years, was 1.490,00EUR-2.247,00 EUR.
Aim: Our aim was to appliance of treatment with cholistic effects for patients with
chronic wounds with reduce cost of treatment.
Methods: In the ten years long experiance of appliance of polarized light (480-3400nm),
once on day from 4-8min with dressing like topic therapy (TIME princip) we notice: 1.
Biostimulation effects,2.Stimulation of tissue repair,3.Stimulation of non-specific immune
reactions, 4.Stimulation of body defence mechanisms, 5.Reduction of pain sensation.
Results: Applied of polarized light (480-3400nm) in the treatment of patient with chronic
wounds we had:1.Acceleration of wound closure 2.Improved quality of scar tissue 3.
Reduction of pain sensation 4.Reduction and control using of antibiotics 5.Improvement
in doctor-patient comunication and confidence 6.Reduction of hospitals days coast.
Conclusion: Therapy with polarized light is: 1.Simple and non invasive therapy 2.
Without unwished effects 3.Important like suplementar therapy in the treatment of
chronic wounds resistent on other therapy 4.Improve quality of life of patients and their
family 5. Better cost benefit than other therapy
EP 507
E-Poster: Infection
CONSERVATIVE MANAGEMENT OF MESH SITE INFECTION IN ABDOMINAL
INCISIONAL HERNIA REPAIR BY APPLICATION OF TOPICAL NEGATIVE
PRESSURE* THERAPY: A CASE REPORT
Marco Negri 1 , Stefano Bolzon 1 , Gian Piero Guerrini 1 , Federico Zanzi 1 ,
Alessio Vagliasindi 1 , Enrico Guerra 1 , Paolo Soliani 1
1 Ravenna’s Hospital Department of General Surgery (Ravenna, Italy).
Aim: The Authors demonstrate the possibility to resolve the infectious problem without
removing the mesh but only by topical negative pressure* therapy with local antibiotic
instillation.
Methods: Mesh hernioplasty is the preferred surgical procedure for abdominal incisional
hernia and infection remains one of the most common complications. In some patients
the mesh may need removal to overcome infection. In this case of a female patient, 68
years old, a conservative management was performed. Pus or purulent fluid was sent for
culture and sensitivity. Patient was treated by intravenous antibiotics and local wound
care with topical negative pressure* therapy with local antibiotic instillation.
Results: Staphylococcus Aureus and Pseudomonas Aeuginosa were found organism
causing infection. Polypropylene mesh was used. Hospital stay was 25 days. This case
was treated conservatively without removing the mesh but by application of topical
negative pressure* therapy with local antibiotics instillation of gentamicin (240 mg/250
cc./24 h) for 14 days.
Conclusions: Conservative management is likely to be successful in mesh site infection
in abdominal incisional hernia repair.
*Vacuum Assisted Closure
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
289