Here - EWMA 2013

FREE PAPER SESSION: DRESSINGS AND WOUND ASSESSMENT
Free Paper Session: Dressings and Wound Assessment
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THE USE OF 3D PHOTOGRAPHY IN THE ASSESSMENT OF MILITARY WOUNDS
Steven Jeffery 1
1 The Royal Centre for Defence Medicine (Birmingham, United Kingdom).
Aim: To assess the usefulness of 3D photography in the management of complex
miltary wounds.
Methods: The camera was assessed both at a hospital in the UK which receives military
injuries from around the world, as well as in a British Filed Hospital in Afghanistan.
Results: Wounds of 40 patients were assessed using the 3D camera, 20 in Afghanistan
and a further 20 in the UK. Wound photography was found to be a useful way of
communicating to all members of the team details of the size, position and nature of the
wound without everyone being present at the dressing change. It was also useful for
certain patients to see the images in order to understand the treatment being proposed.
Discussion: The 3D camera has proved to be particularly useful in recording wounds
which do not lie flat in a 2D plane. The 3D images can be manipulated by the viewer,
allowing for a more detailed understanding of the wound topography. The software
easily allows for mapping of both the wound area and volume, giving real numbers to
these assessments. If taken serially, this data can be plotted graphically. This has been
particularly helpful in reassuring some patients that their wounds really are getting
smaller. On occasion it has been helpful in demonstrating to some patients that their
wounds really are not progressing and that a different treatment is necessary.
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Free Paper Session: Dressings and Wound Assessment
Soft silicone dressings* decrease the severity of acute radiationinduced
skin reactions post-mastectomy
Dean Paterson 1 , Prashika Poonman 2 , Noelle Bennett 3 , Ruth Peszynski 3 ,
Meredith van Beekhuizen 4 , Marieke Jasperse 1 , Patries Herst 1
1 University of Otago (Wellington, New Zealand);
2 Regional Cancer Treatment (Palmerston North, New Zealand);
3 Southern Blood and Cancer Centre (Dunedin, New Zealand);
4 Auckland Radiation Oncology (Auckland, New Zealand).
Aim: This randomized controlled clinical trial set out to investigate whether thin selfadherent
soft silicone dressings were superior to aqueous cream in reducing the severity
of acute radiation-induced skin reactions in patients receiving treatment for breast cancer
post-mastectomy.
Methods: A total of 80 women were recruited from four hospitals in New Zealand with
74 women contributing a full data set for analysis. The first skin area on the chest wall to
develop erythema was randomly divided into two similar halves; one half was treated
with a soft silicone dressing, the other half with aqueous cream. Skin reactions were
assessed using the Radiation-Induced Skin Reaction Assessment Scale (RISRAS).
Results: Compared with aqueous cream, the dressings did not significantly reduce the
incidence of moist desquamation but did reduce the overall severity of skin reactions by
41% (p