Here - EWMA 2013

E-POSTER PRESENTATIONS
EP 556
A case of multiple cutaneous eschars from pyoderma
gangrenosum in a patient
E-Poster: Case Study
Simone Moroni 1 , Marco Palombo 1 , Tommaso Anniboletti 1 , Francesco De Vita 1 ,
Paolo Palombo 1
1 Department of burn Centre and Plastica and Reconstructive Surgery, S. Eugenio
Hospital (rome, Italy).
Aim: We report the case of a 52 years Indo-European patient suffering from ulcerative
colitis who developed multiple skin necrosis from pyoderma gangrenosum with
coriaceous eschars localized at the level of the trunk, upper limbs and lower limbs.
Methods: The patient was treated either surgically, with escarectomia and skin grafting
and with the use of advanced dressings aimed to achieving not only an enzymatic
debridement of eschar, but also to stimulate the healing of loss of substance.
Results and Conclusions: After surgery, the patient was treated with advanced
dressings for 50 days until obtaining the complete restitutio ad integrum of the loss of
substance.
E-POSTER: CASE STUDY
EP 557
E-Poster: Case Study
THIRD-DEGREE BURN OF THE HAND TRATED WITH NEGATIVE PRESSURE
WOUND THERAPY: A SUCCESSFULLY TREATED CASE.
Tommaso Anniboletti 1 , Marco Palombo 1 , Simone Moroni 1 , Francesco de Vita 1 ,
Paolo Palombo 1 , Giancarlo delli Santi 1
1 Department of burn Centre and Plastica and Reconstructive Surgery, S. Eugenio
Hospital (Rome, Italy).
Aim: We report the clinical case of a 67 years female, epileptic, who referred to us for
third-degree burns with exposed bone of the right hand occurred with boiling oil during
an epileptic crisis.
Methods: The patient was admitted to our burn center and she was treated initially with
the sodium hyaluronate topical ** and paraffin gauzes for debridement of the wound and
then nine days after the accident we performed escharectomy with the application of a
skin substitute*** and partial thickness grafts. Since the grafts taking partially failed we
decided to use the negative pressure wound therapy therapy (NPWT) in outpatient
setting (with medications three times a week) using the NPWT hand kit.
The NPWT (20 days) was alternated with a period of 10 days in which we used 10%
iodoform gauzes and then 12 days of NPWT again.
Results: The patient achieved an excellent result with bone coverage and reepithelialization.
Conclusions/Discussion: We therefore believe that treatment with NPWT has been
optimal to allow deep tissue closure and to avoid more invasive treatments, and we
believe tha the negative pressure-free period to enable an influx of blood vessels by the
new vessels promoting granulation.
References not available.
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