Here - EWMA 2013

E-POSTER: CASE STUDY
E-Poster: Case Study
EP 558
USE OF A NEW HYDRO-DESLOUGHING ABSORBENT DRESSING IN
A NON HEALING ACUTE WOUND
Claire Bouvier 1 , Linda Davies 2
1 Laboratoires Urgo (Chenove, France);
2 Locking Castle Medical Centre (Weston-Super-Mare, United Kingdom).
Aim: The modern concept of “wound bed preparation” to correct anomalies that might
obstruct wound healing at any time gives particular importance to debridement and the
control of wound exudate. The prolonged presence of necrotic devitalised tissue or
sloughy deposits produced by exudate is one of the main causes of delayed healing due
to the chronic inflammation that this triggers and the ever present risk of secondary
infection. A new hydro-desloughing absorbent dressing for exuding and sloughy wounds
was evaluated over a 6 week period, in order to assess the reduction in sloughy tissue
in the local management of a leg ulcer.
Methods: The patient was a 57 year old female suffering from an 8 month old acute
wound caused from what the patient believed was either a scratch or insect bite. The
patient was followed-up over a six week period and assessed weekly with wound
tracings and photographs.
Results: At inclusion the percentage of slough was between 75 -80%, after 15 days
using the new dressing the slough had reduced to 10-15%. A reduction in wound surface
area was also recorded and a reduction in pain from VAS 5 to 1.
Conclusions: This new hydro – desloughing absorbent dressing significantly reduced
slough by over 80% in only fifteen days. No adherence was reported to the wound bed,
the number of dressing changes reduced and the dressing was easy to apply and
remove.
EP 559
OUR EXPERIENCE IN THE HEALING OF TRAUMATIC WOUNDS WITH
A NEW TECHNOLOGY FOAM DRESSING*
E-Poster: Case Study
Claire Marchand 1 , David Perignon 2 , C Guichard 2 , J. Steinbrunn 1
1 Laboratoires Urgo (Chenove, France);
2 Hopital Nord (AMIENS, France).
Aim: The healing of substance losses of traumatic origin usually follows a favourable
and expected course in the absence of underlying aggravating factors, except in the
event of secondary infection. Advanced age and the presence of ulceration over a
recent, fragile scar in the inflammatory period, are another two factors promoting poor
healing.
Methods: Two cases of loss of substance treatment using new technology foam
dressings* following the failure of conventional dressing treatment are reported.
Results: The first case concerns a 76 year-old female patient presenting with venous
insufficiency and stasis dermatitis and extensive traumatic loss of skin substance,
without bone exposure, on the anterior surface of the middle third of the tibia. After three
weeks of treatment with greasy gauze, the wound remained sloughy with peripheral
necrosis. Following mechanical desloughing, the different healing phases were obtained
using new technology foam dressings* until complete wound healing was achieved.
The second case concerns a 23 year-old female patient, who presented necrosis
subsequent to a haematoma occurring under a total skin graft performed to cover loss of
substance related to excision of a birth mark. The wound remained inflammatory and
deep, with fragile, friable granulation tissue. Complete healing was obtained in 2 months
with the new technology foam dressing*, following a first graft edge stabilisation phase
and then a centripetal epithelialisation phase.
Conclusions: The new technology foam dressings* constitute a new treatment
alternative for the management of chronic wounds of traumatic origin.
* TLC-NOSF
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
315