Here - EWMA 2013

ORAL PRESENTATIONS
144
Free Paper Session: Basic Science and Burns
MODERN TECHNOLOGIES FOR LOCAL CONSERVATIVE TREATMENT IN BURNED
PATIENTS
Andrey Alekseev 1,2 , Alexandr Bobrovnikov 1,2 , Michael Krutikov 1,2 , Murman Lagvilava 1 ,
Vitaliy Bogdanov 1
1 A.V.Vishnevsky Institute of surgery (Moscow, Russia);
2 Department of thermal injuries, wounds and wound infections, RMAPO (Moscow,
Russia).
Aim: To develop modern technologies of local conservative treatment in burned patients
and assess its effectiveness.
Methods: 1408 clinical-laboratorial studies of effectiveness of different dressings groups
and methods for local treatment of burn wounds, donor sites and transplanted skin grafts
were conducted in 985 patients. All studies were open, comparative, controlled and
performed according to single protocol. In main group (579 patients), modern dressings,
antimicrobial drugs and ultrasonic cavitation were applied. In comparison group (406
patients), treatment of burn wounds was conducted by gauze dressings with ointments
based on polyethylene glycol and by antiseptic solutions. In all patients, deep burns
were closed surgically.
Results: Results showed that application of gauze dressings with povidone-iodine
solution, ointments based on polyethylene glycol and textile dressings allowed to treat
wounds by dry method. On the contrary, atraumatic, hydrogel, film dressings, and silvercontained
creams allowed to treat wounds by moist method. Dressings from one group
created and maintained definite wound environment and therefore had equal clinical
efficacy. Results of burn wound treatment depended on technology of use of modern
dressings, local antiseptics and physical methods of influence on wounds, application of
which in complex treatment of burned patients allowed to reduce treatment duration due
to decrease of epithelization terms or preparation for operations.
Conclusions: Basis of technologies of local conservative treatment is interchange of
moist and dry methods of treatment aimed at creation of optimal conditions for
regeneration using different groups of dressings and methods, depending on
localization, burn sizes, wound healing stages and infection presence.
FREE PAPER SESSION: BASIC SCIENCE AND BURNS
145
A new approach for children burn scars
Free Paper Session: Basic Science and Burns
Agostino Bruno 1 , Marco Palombo 1 , Giancarlo delli Santi 1 , Lucio Fasciani 1 ,
Tiziana Pagliarini 1 , Paolo Palombo 1
1 S Eugenio Hospital (Rome, Italy).
Aim: Burn scars are known for their dystrophic sequelae, causing massive changes both
functional and aesthetic.Many treatments have been proposed, with variable and
sometimes disappointing results.
Methods: In the last 6 months we treated 14 children (age from 3 years to 13) for their
burn scar from scald. Their hypertrophic scars were dermabraded, and non-cultured
epithelial autograft harvested from an area close to the burnt surface was treated
according to the ReCell technique and applied to the dermabraded surface ; underneath
the treaded area, lipofilling was performed. Once the area healed up, non ablative
fractional laser session were performed (one month apart from each other).
Results: Dressing were no longer required by the 8th post-operative day; we highlighted
a complete reepithelization by 10 days post-op, and satisfactory skin pigmentation and
texture by 3 months post op. No major complication occurred.
Conclusion: This approach proved to be very effective in the management of young
patient burn scar, as it isn’t very invasive, and allows a rapid functional and aesthetic
recovery.
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