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

1. 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

2. 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

3. 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

4. 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

5. 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