NEGATIVE PRESSURE WOUND THERAPY IN THE TREATMENT OF THIRD-DEGREE BURN OF THE HAND: A CLINICALLY SIGNIFICANT CASE REPORT

T Anniboletti, M Palombo, S Moroni, F De Vita, G Delli Santi, P Palombo. Burns and Plastic Surgery Center (Rome, Italy)

Introduction: We report the clinical case of a 67 years female, epileptic, who referred to us for third-degree burns with exposed bones of the right hand occurred with boiling oil during an epileptic crisis.

EP 557

Materials and Methods: The patient was admitted to our burn center and she was treated initially with the sodium hyaluronate topical (Bionect-start ™, Fidia , Italy) and paraffin gauzes for debridement of the wound, and then nine days after the accident we performed escharectomy with the application of a skin substitute (Matriderm ™ , Medskin Solutions) and partial thickness grafts.

NEGATIVE PRESSURE WOUND THERAPY IN THE TREATMENT OF THIRD-DEGREE BURN OF THE HAND: A CLINICALLY SIGNIFICANT CASE REPORT

T Anniboletti, M Palombo, S Moroni, F De Vita, G Delli Santi, P Palombo. Burns and Plastic Surgery Center (Rome, Italy)

EP 557

Materials and Methods: Since the grafts taking partially failed we decided to use the negative pressure wound therapy therapy (NPWT) in outpatient setting (with medications three times a week) using the NPWT hand kit. The NPWT (20 days) was alternated with a period of 10 days in which we used 10% iodoform gauzes and then 12 days of NPWT again.

NEGATIVE PRESSURE WOUND THERAPY IN THE TREATMENT OF THIRD-DEGREE BURN OF THE HAND: A CLINICALLY SIGNIFICANT CASE REPORT

T Anniboletti, M Palombo, S Moroni, F De Vita, G Delli Santi, P Palombo. Burns and Plastic Surgery Center (Rome, Italy)

EP 557

NEGATIVE PRESSURE WOUND THERAPY IN THE TREATMENT OF THIRD-DEGREE BURN OF THE HAND: A CLINICALLY SIGNIFICANT CASE REPORT

Results: The patient achieved an excellent result with bone coverage and re-epithelialization that was completed using a partial thickness graft.

T Anniboletti, M Palombo, S Moroni, De Vita, G Delli Santi, P Palombo. Burns and Plastic Surgery Center (Rome, Italy)

EP 557

Conclusions: We therefore believe that the treatment with NPWT has been optimal to allow deep tissue closure and to avoid more invasive treatments, and we believe the negative pressure-free period be able to enable an influx of blood vessels by the new vessels, promoting granulation.

NEGATIVE PRESSURE WOUND THERAPY IN THE TREATMENT OF THIRD-DEGREE BURN OF THE HAND: A CLINICALLY SIGNIFICANT CASE REPORT

T Anniboletti, M Palombo, S Moroni, De Vita, G Delli Santi, P Palombo. Burns and Plastic Surgery Center (Rome, Italy)

EP 557