Here - EWMA 2013

E-POSTER: LEG ULCER
E-Poster: Leg Ulcer
EP 526
USE OF A NEW ULCER CLEANSING SYSTEM AND OF PLATELET GEL IN THE
MANAGEMENT OF «NON HEALING» LEG ULCERS IN ELDERLY
Francesco Paolo Palumbo 1 , Giuseppina Mazzola 2 , Simone Serantoni 3 ,
Giacomo Failla 4 , Michelangelo Maria Di Salvo 4 , Franca Abbritti 5 , Vincenzo Mattaliano 6
1 Medical advisor (Palermo, Italy);
2 U.O. Transfusional Center – A.O.U. Policlinico (Palermo, Italy);
3 Casa di Cura Villa Fiorita (Prato, Italy);
4 U.O. Angiologia A.O.U. Ferrarotto (Catania, Italy);
5 U.O. Chirurgia Vascolare Ospedale G. Salvini (Garbagnate Milanese, Italy);
6 Angiologia Casa di Cura Barbantini (Lucca, Italy).
Aim: Evaluate a new ulcer cleansing system and autologous platelet gel in the treatment
of “non healing” leg ulcers.
Methods: Multicenter study. 27 non healing leg lesions in 16 patients (6 males and 10
females) – Age 74 – 92 years – Average age 81,6 yy. Criteria exclusion: infected lesions.
All patients underwent to an anamnestic, clinical and instrumental evaluation – Data
were collected using a schedule to detect wound characteristics. QL index wad
administred to all patients. Before PLT gel application wound bed preparation was
performed using a new surfactant cleansing system. PLT was applied once a week for
10 weeks.
Results: Calculating the average area lesions, we observed a reduction rate of 32%.
(from 29,2 cm 2 to 20,1 cm 2 ) at 10 weeks. Also exudate and maloudour decreased (see
tabs.). Pain decreased (VAS scale) about 54%. Since third week all patients reported a
better QL index.
Conclusions: In almost all cases we observed an improvement of the wounds,
indicated by:
a) regression of signs of infection and inflammation;
b) reduction of exudate and fibrin;
c) reduction of pain assessed by the patients (VAS scale)
d) good compliance at dressing change
e) reduction of malodour
f) better QL-index.
These results suggest that a good wound bed preparation is important to the next PLT
gel actions. No collateral effects and complications were reported in all patients.
EP 527
E-Poster: Leg Ulcer
A NEW DEVICE IN THE WOUND BED PREPARATION – PRELIMINARY REPORT
Francesco Paolo Palumbo 1 , Simone Serantoni 2 , Franca Abbritti 3 , Giacomo Failla 4 ,
Michelangelo Maria Di Salvo 4
1 Medical advisor (Palermo, Italy);
2 Casa di Cura Villa Fiorita (Prato, Italy);
3 U.O. Chirurgia Vascolare Ospedale G. Salvini (Garbagnate Milanese, Italy);
4 U.O. Angiologia A.O.U. Ferrarotto (Catania, Italy).
Aim: We evaluate the role of a new surface surfactant gel containing PHMB in the
preparation of wound bed of mild infected leg ulcers.
Methods: Multicenter study. 23 non healing leg lesions (no responsive to treatment after
12 months) in 12 patients (5 males and 7 females), Aetiology: venous 16, diabetic 4,
arterial 2 – Age 63 – 84 years – Average age 68,3 yy. Criteria exclusion: severe infected
lesions. All patients underwent to an anamnestic, clinical and instrumental evaluation –
Data were collected using a schedule to detect wound characteristics. QL index was
administred to all patients. Application of gel 2 times a week for 30 days.
Results: We observed a reduction in average area of 36% with regression of exudate
quantity (see tabs). No antibiotics were administred. Reduction of pain (VAS scale) of
73% in all patients. Maloudour disappeared after 2-3 applications.
Conclusions:
• In almost all cases we observed an improvement of the wounds, indicated by:
a) regression of signs of infection and inflammation;
b) reduction of exudate and fibrin;
c) reduction of pain assessed by the patients (VAS scale)
d) reduction of malodour
e) better QL-index.
These preliminary results suggest a direct antibacterial action of gel in the bottom of the
lesions, maybe due to penetration of PHMB by the poloxamer.
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
299