Here - EWMA 2013

E-POSTER PRESENTATIONS
EP 560
E-Poster: Case Study
LIVING WITH A VENOUS ARTERIAL LYMPHATIC ULCER FOR FOURTY-SEVEN
YEARS – A CASE STUDY
Alice van den Wijngaard 1 , Monique de Ruiter 2 , Daniela Modersohn 3
1 Wound and compression specialist Lohmann & Rauscher (Almere, Netherlands);
2 Wound & ET specialist Evean zorg Noord Holland (Alkmaar, Netherlands);
3 Lymph & skin specialist, Dermacura (Heerhugowaard, Netherlands).
Aim: Evaluation of a treatment regime to prevent lower limb amputation in a patient with
a venous – arterial – lymphatic leg ulcer that persisted for 47 years.
Methods: Case ascertainment was used. The 77-years-old female patient had an
extensive leg ulcer (28.6 cm2). She has a long history of severe rheumatoid arthritis and
is a heavy smoker (25 cigarettes/day). She is mobile with a walker but spends her time
in a wheelchair. Her nutritional status is moderate. Patient reported pain was VAS 8.5.
Although her leg is slim there is edema present. The ulcer contains 95% slough and 5%
unhealthy looking granulation tissue. Vascular assessment and biopsies ruled out
vasculitis and malignancies. The multidisciplinary team approach comprised:
Psychological counseling to help her cope better, education about her situation;
Debridement with a *monofilament fiber product + PHMB; Manual lymph drainage;
Compression (**tubular padding and ***cohesive short stretch bandages); Low level
laser treatment and acupuncture to help her stop smoking. A ****collagen dressing was
used covered with an *****absorbent pad.
Results: After 8 months the ulcer area had reduced from 28.6 cm 2 to 19.1 cm 2 (66%)
with a healthy looking wound bed. Her mobility has improved. The patient is motivated to
continue with the treatment and is much more active now.
Conclusion: The multidisciplinary approach provided effective care in the community
enabling the patients’ improved condition supporting her towards ulcer healing.
*Debrisoft ® , **TG ® Soft,***Raucodur ® Kohäsive, ****Suprasorb ® C, *****Vliwasorb ® Adhesive, Lohmann &
Rauscher
E-POSTER: CASE STUDY
EP 561
EXPERIENCE OF THE NEW TECHNOLOGY FOAM DRESSING* IN
THE MANAGEMENT OF DIABETIC FOOT ULCERS
E-Poster: Case Study
Laetitia Thomassin 1 , Vichai Srimuninnimit 2
1 Laboratoires Urgo (Chenove, France);
2 Ramathibodi Hospital Faculty of Medicine (Bangkok, Thailand).
Aim: Diabetic foot ulcers are prone to delayed healing due to abnormally high local
proteolytic activity. NOSF is an innovative compound which has demonstrated MMPinhibiting
properties.
The objective of the authors was to report the results of their clinical tests using a new
technology dressing* in the local treatment of foot ulcers in diabetic patients, associated
with off-loading of the affected foot.
Methods: The first patient was a 76 year old female patient with Type 2 diabetes
mellitus and ABPI