Here - EWMA 2013

E-POSTER: CASE STUDY
E-Poster: Case Study
EP 586
APPLICATION OF WIRELESS MICROCURRENT ELECTRICAL STIMULATION IN
TREATMENT OF COMPLICATED WOUNDS: CLINICAL AND IN VITRO STUDIES
Konstantinos Poulas 1 , Manousos Kambouris 1 , George Lagoumintzis 1 ,
Adisaputra Ramadhinara 2
1 Department of Pharmacy, University of Patras (Patras, Greece);
2 Wound Medical Care Service Center (Jakarta, Indonesia).
Electrostimulation (ES) is an effective method for accelerating wound-healing. ES was
traditionally conducting current through pads in contact with the body, restarting the
wound-healing process by mimicking the “current of injury”. The method was not
adopted widely because of disadvantages related with the proximity of the electrodes
with the tissues next to the wound.
Aim: We here present results by using an innovative device, based on the method of
Wireless Micro Current Stimulation (WMCS), for rapid and effective wound healing. In
this device, charged air gases are used to create/maintain the current to the wound,
without any contact with the tissue.
Methods: We have assessed the device in a number of cases and we present two
complicated treatments: a. A 70-years-old male, with a hard-to-heal chronic diabetic
ulcer, at the lower right leg which had been amputated at the ankle level, due to a
serious diabetic ulcer.
b. A 47-years-old female, with a known type 2 diabetes, presented with cellulitis on the
left hand after a skin injury due to neuropathy, as a complication of her diabetes
Results/Discussion: Both cases were treated only with WMCS apparatus, using 1.5
microAmpere daily or every other day respectively and standard wound care. Both
ulcers were healed following WMCS therapy, while assays have shown abundance of
thick collagen fibers and focal increase of mast cells. The rapid progress of wound
healing in the above patient using WMCS seems very promising and the method indeed
very effective.
EP 587
E-Poster: Case Study
TREATMENT OF DIABETIC FOOT WITH COMBINATION OF TOPICAL NEGATIVE
PRESSURE THERAPY AND POLYHEXANIDE IRRIGATION SOLUTION
Gema Rodriguez 1 , Maria Cruz Vicente 1 , Carmen Soraya Robledo 1 , Sonsoles Martin 1 ,
Ana Maria Calvo 1 , Maria Soledad Valle 1
1 Hospital Universitario de Salamanca (Salamanca, Spain).
Aim: Enchance wound cleansing
Reduce the risk of clinical infection
Promote wound healing
Methods: Case Study: A 86 years old male with insulin-dependent type II diabetes,
arterial hypertension, renal and cardiac failure.
The patient was admitted to a regional hospital due to an intense pain in his right foot
and showed an abscess in 4th and 5th finger. MRSA culture was positive. Analgesia,
antibiotics and isolation measures were all prescribed. Surgical cleaning with amputation
of both 4th and 5th right foot fingers was performed and the wound was left open.
A combination treatment with vacuum therapy (TNP) and irrigation solution with
polyhexanide was initiated in 3 days.
TNP, time and doses instillation were modified according to the wound progress
Furthermore, photographs and dimensions were recorded periodically
Results: After 9 days of treatment and three cures the wound was cleaned and ready for
surgical closure. The patient was discharged from the hospital 19 days after admission.
One month later, the wound was healed and the patient had no pain, no signs or
symptoms of infection
Discussion/Conclusions: Combination therapy whit negative pressure and
polyhexanide is showed as an option in wound healing or preparation for surgical repair.
Among other advantages, wounds are less handled, is comfortable for the patient and
reduces risk of infection, which facilitates healing of wounds
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
329