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E-POSTER: CASE STUDY
E-Poster: Case Study
EP 566
SEQUENTIAL TREATMENT OF CHRONIC WOUNDS WITH HYDRO-DESLOUGHING
DRESSING AND A NEW WOUND DRESSING TECHNOLOGY*
Udo Möller 1 , Teresa Segovia Gomez 2 , N. Pielensticker 1
1 Urgo GmbH (Sulzbach, Germany);
2 Unidad Multidisciplinar de Heridas Hospital Puerta de Hierro (Madrid, Spain).
Aim: The polyvalence of a dressing is an important variable in the treatment of a chronic
or acute wound. A dressing should adapt, control the exudate volume and contribute to
accelerate the healing process. For this reason it is essential to identify the correct stage
of the healing process: debridement, granulation or epithelialization. The wide range of
Technology-Lipido-Colloid (TLC) dressings offers the possibility to use a different
dressing depending on the stage of healing process.
Both dressings used (hydro-desloughing dressing and a new wound dressing
technology*) have different indications, but can be used in a sequential treatment.
Methods: Three clinical cases including vascular ulcers, and treated by the two
dressings in a sequential protocol, are described.
Results: All cases demonstrate total epithelialization after the use of the two dressings.
Conclusions: These clinical cases show the interest of the sequential treatment of
these two dressings in the treatment of these wounds.
* TLC-NOSF
EP 567
E-Poster: Case Study
A CLINICAL CASE STUDY ON A CATEGORY 4 PRESSURE ULCER USING A PHMB
& BETANE CLEANSING SOLUTION AND A UNIQUE IONIC SILVER PASTE
Lindsey Bullough 1
1 Wrightington, Wigan and Leigh NHS Foundation Trust (Wigan, United Kingdom).
Aim: Wound infection is a major challenge in wound management. It is important to
control or prevent infection, therefore optimizing the potential for healing by maintaining
an ideal wound environment.
A 53 year old lady was admitted to hospital with a category 4 pressure ulcer to her
buttock,which measured 13cm x 7cms with hard necrotic tissue covering 100%. There
were no signs of infection, it was decided to irrigate the wound with PHMB/betaine
solution prior to applying PHMB/betaine gel to soften and debride the eschar as well as
removing any biofilms.
Once the eschar was reduced the dressing regime was changed, an ionic silver paste
was used to complete the debridement process. This would help control the exudate and
provide an active concentration of silver ions against the microorganisms.
Method: A layer of gauze soaked in the PHMB/ betaine solution, placed onto the
necrotic tissue for 15 minutes, the ionic silver paste was applied with an adhesive film to
secure.
Results:
Day 8 Eschar had now softened and was starting to debride at the wound edges.
Day 18 Debridement of slough with 30% granulation.
Day 32 Debridement is virtually complete with only thin strands of slough covering a
clean, granulating wound.
Discussion: Application of both preparations were simple, straightforward and effective,
providing rapid debridement of eschar and slough without causing trauma. They also
contributed to the speedy result with the prevention of infection leading to wound
progression as well as controlling exudate from which we saw no maceration to
surrounding skin.
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
319