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USE OF A NEW ULCER CLEANSING SYSTEM AND OF PLATELET GEL IN THE MANAGEMENT OF “NON
HEALING” LEG ULCERS IN ELDERLY
PALUMBO F.P.1 – SERANTONI S.2 – ABBRITTI F.3 – MAZZOLA G.
4-‐ FAILLA G.5-‐ DI SALVO M.M.5
1 – LABORATORIO DI VULNOLOGIA – PALERMO 2 – CASA DI CURA “VILLA FIORITA” – PRATO 3 – U.O. CHIRURGIA VASCOLARE – A.O. G. SALVINI, GARBAGNATE MILANESE 4 – U.O. MEDICINA TRASFUSIONALE – A.O.U. POLICLINICO, PALERMO 5 -‐ U.O. ANGIOLOGIA – A.O.U. VITTORIO EMANUELE – “FERRAROTTO”, CATANIA
USE OF A NEW ULCER CLEANSING SYSTEM AND OF PLATELET GEL IN THE MANAGEMENT OF “NON HEALING” LEG ULCERS IN ELDERLY
Age: 74 - 92 years Average age 81,6 yy
AETIOLOGY Venous 5 Arterial 2 Mixed 3 Vasculitis 3 Diabetic 3
A new technological advanced device was tested on 27 lesions selected in 16 paTents in a mulTcentric observaTonal study.
PALUMBO F.P. – SERANTONI S. – ABBRITTI F.– MAZZOLA G.- FAILLA G.- DI SALVO M.M.
0
2
4
6
8
10
6
10
MALES FEMALES
METHODS
All paTents underwent to an anamnesTc and clinical and instrumental evaluaTon (when required). Data were collected using a schedule to detect wound characterisTcs. QL index was administred to all paTents. In selected paTents, a mulTlayer, mulTcomponent, inelasTc bandage was applied. Ulcer Cleansing System Device was administred before platelet gel applicaTon. Autologous PLT Gel was administred in 14 paTents. Only in 2 paTents homologous PLT Gel was administred.
PaTents were selected according to condiTons of the injury at Tme T0, regardless of Tme of onset and treatment prior to enrollment date. Criteria exclusion: severe infected lesions.
PALUMBO F.P. – SERANTONI S. – ABBRITTI F.– MAZZOLA G.- FAILLA G.- DI SALVO M.M.
USE OF A NEW ULCER CLEANSING SYSTEM AND OF PLATELET GEL IN THE MANAGEMENT OF “NON HEALING” LEG ULCERS IN ELDERLY
USE OF A NEW SURFACTANT GEL WITH SILVER SULPHADIAZINE IN THE TREATMENT OF CHRONIC LEG ULCERS AND DIABETIC FOOT: ITALIAN MULTICENTRIC EXPERIENCE
ULCERS AREA PLANIMETRIC METHOD
PAIN VISUAL SCALE
EXUDATE N. DRESSING CHANGE/WEEK
QUALITY OF LIFE INDEX (QL) ACTIVITY, DAILY LIVING, HEALTH, SUPPORT, OUTLOOK
PALUMBO F.P. – SERANTONI S. – ABBRITTI F.– MAZZOLA G.- FAILLA G.- DI SALVO M.M.
USE OF A NEW ULCER CLEANSING SYSTEM AND OF PLATELET GEL IN THE MANAGEMENT OF “NON HEALING” LEG ULCERS IN ELDERLY
USE OF A NEW SURFACTANT GEL WITH SILVER SULPHADIAZINE IN THE TREATMENT OF CHRONIC LEG ULCERS AND DIABETC FOOT: ITALIAN MULTICENTRIC EXPERIENCE
RESULTS In all almost paTents an improvement of obiecTve data was observed. ReducTon of exudaTon and of inflamaTon in the skin around the ulcers were observed since the first week of gel applicaTon. These were accompanished by reducTon of average wound areas and of pain. Also malodour decreased since the first week. Some paTents have reported the occurrence of burning in the first two days of applicaTon of platelet gel.
PALUMBO F.P. – SERANTONI S. – ABBRITTI F.– MAZZOLA G.- FAILLA G.- DI SALVO M.M.
USE OF A NEW ULCER CLEANSING SYSTEM AND OF PLATELET GEL IN THE MANAGEMENT OF “NON HEALING” LEG ULCERS IN ELDERLY
USE OF A NEW SURFACTANT GEL WITH SILVER SULPHADIAZINE IN THE TREATMENT OF CHRONIC LEG ULCERS AND DIABETIC FOOT: ITALIAN MULTICENTRIC EXPERIENCE
PAIN WOUND AREAS
0
5
10
15
20
25
30
t0 t1
29,2
20,1
0 1 2 3 4 5 6 7
t0 t1
6,6 2,7
PALUMBO F.P. – SERANTONI S. – ABBRITTI F.– MAZZOLA G.- FAILLA G.- DI SALVO M.M.
USE OF A NEW ULCER CLEANSING SYSTEM AND OF PLATELET GEL IN THE MANAGEMENT OF “NON HEALING” LEG ULCERS IN ELDERLY
-‐ 59,9 % -‐ 31,1 %
USE OF A NEW SURFACTANT GEL WITH SILVER SULPHADIAZINE IN THE TREATMENT OF CHRONIC LEG ULCERS AND DIABETIC FOOT: ITALIAN MULTICENTRIC EXPERIENCE
QL-‐INDEX EXUDATE
PALUMBO F.P. – SERANTONI S. – ABBRITTI F.– MAZZOLA G.- FAILLA G.- DI SALVO M.M.
USE OF A NEW ULCER CLEANSING SYSTEM AND OF PLATELET GEL IN THE MANAGEMENT OF “NON HEALING” LEG ULCERS IN ELDERLY
0
0,5
1
1,5
2
2,5
3
3,5
t0 t1
3,4
1,3
8,2 8,4 8,6 8,8 9
9,2 9,4 9,6 9,8
t0 t1
8,8
9,7
-‐61,7% 10,2%
USE OF A NEW SURFACTANT GEL WITH SILVER SULPHADIAZINE IN THE TREATMENT OF CHRONIC LEG ULCERS AND DIABETIC FOOT: ITALIAN MULTICENTRIC EXPERIENCE
PALUMBO F.P. – SERANTONI S. – ABBRITTI F.– MAZZOLA G.- FAILLA G.- DI SALVO M.M.
USE OF A NEW ULCER CLEANSING SYSTEM AND OF PLATELET GEL IN THE MANAGEMENT OF “NON HEALING” LEG ULCERS IN ELDERLY
Cleansing of a pressure ulcer in a patient affected of PAD by device and application of PLT Gel. After 2 weeks growth of proliferative tissue.
Cleansing of an ulcer occurring in a woman affected of thrombocytemia and application of PLT Gel.
USE OF A NEW SURFACTANT GEL WITH SILVER SULPHADIAZINE IN THE TREATMENT OF CHRONIC LEG ULCERS AND DIABETIC FOOT: ITALIAN MULTICENTRIC EXPERIENCE
DISCUSSION The aim of the study was to verify the effecTveness a new system of debridment using a soluTon based on poloxamer and moisturisers like aloe vera. Cleansing and debridment, obtained with a tovel soaked in this liquid, was followed immediately by a feeling of freshness even on very exuding and inflamed ulcers. The applicaTon of platelet gel in some paTent was followed by the onset of burning of vaTable duraTon from a few hours up to two days. Since the first two applicaTons it was observed a decrease of exudate and dressing changes to the reducTon of inflamaTon of the Tssue surrounding the wound. Also the bad odor was reduced unTl the disappareance and this has improved the social life of the elderly subjects. The handling and ease of use of the new debridment system has considerably shortened Tme of PLT gel applicaTon.
PALUMBO F.P. – SERANTONI S. – ABBRITTI F.– MAZZOLA G.- FAILLA G.- DI SALVO M.M.
USE OF A NEW ULCER CLEANSING SYSTEM AND OF PLATELET GEL IN THE MANAGEMENT OF “NON HEALING” LEG ULCERS IN ELDERLY
USE OF A NEW SURFACTANT GEL WITH SILVER SULPHADIAZINE IN THE TREATMENT OF CHRONIC LEG ULCERS AND DIABETIC FOOT: ITALIAN MULTICENTRIC EXPERIENCE
AKNOWLEDGEMENTS A SPECIAL THANKS TO DR. ELSA LO IACONO AND DR. ELENA PATORNO FOR THE PREPARATION OF DATA ON PATIENTS.
PALUMBO F.P. – SERANTONI S. – ABBRITTI F.– MAZZOLA G.- FAILLA G.- DI SALVO M.M.
USE OF A NEW ULCER CLEANSING SYSTEM AND OF PLATELET GEL IN THE MANAGEMENT OF “NON HEALING” LEG ULCERS IN ELDERLY
CONCLUSIONS In almost all cases we observed an improvement in the wounds, indicated by: § Regression of signs of inflamaTon; § ReducTon of exudate and fibrin; § ReducTon of pain assessed by the paTents; § Good compliance at dressing change; § ReducTon of malodour; § Improving QL-‐Index rate. These result suggest that a good bed wound preparaTon is important to the next PLT gel acTon, No collateral effects and complicaTons were reported in all paTents: