Hoftealloplastik – 4 dages behandling

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Casestudie

Hoftealloplastik – 4 dages behandling

Patient

69 -årig kvinde.
Henvist til ny hofte.
Har kronisk anæmi og type 2 diabetes.
BMI > 35.

Sår

Den indledende operation gik godt og problemfrit. Patienten blev sendt hjem med AQUACEL^®Surgical bandage og ordineret Dabigtran (VTE profylaktisk).
9 dage senere oplever patienten smerter og væske fra såret.
Patienten bliver tilset på klinikken på dag 9 (figur 1). Huden omkring såret virker skrøbelig og misfarvet. Mild sårsekretion.

Behandling og resultater

Behandling med Avelle^™ NPWT blev igangsat på dag 9, og Dabigatran blev seponeret.
Såret blevet tilset 4 dage senere (figur 2) og fremstod rent, tørt og uden misfarvning.

Figur 1

Figur 2

Referencer

^*Batteriskifte kan være nødvendigt i pumpens levetid.
+ Demonstreret in-vitro

1. AvelleTM NPWT System Post Market Evaluation Report. Data on file. 2018. ConvaTec.
2. Bowler P, Jones S, Towers V, Booth R, Parsons D, Walker M, 2010. Dressing conformability and silver-containing wound dressings. Wounds UK; 6: 14-20.
3. Walker M, Jones S, Parsons D, Booth R, Cochrane C, Bowler P, 2011. Evaluation of low-adherent antimicrobial dressings. Wounds UK; 7: 32-45.
4. Waring MJ, Parsons D. Physico-chemical characterisation of carboxymethylated spun cellulose fibres. Biomaterials. 2001; 22:903-912.
5. Newman, G.R., et al., Visualisation of bacterial sequestration and bactericidal activity within hydrating Hydrofiber wound dressings. Biomaterials, 2006. 27(7):1129-39.
6. Walker M, Hobot JA, Newman GR, Bowler PG. Scanning electron microscopic examination of bacterial immobilisation in a carboxymethylcellulose (Aquacel) and alginate dressings. Biomaterials. 2003; 24(5):883-890. 7. Coutts P, Sibbald RG. The effect of asilvercontaining Hydrofi ber dressing on superficial wound bed and bacterial balance of chronic wounds. Int Wound J. 2005; 2(4): 348-356.
8. Robinson BJ. The use of a hydrofiber dressing in wound management. J Wound Care. 2000; 9(1):32-34.
9. Jones S, Bowler PG, Walker M. Antimicrobial activity of silver-containing dressings is influenced by dressing conformability with a wound surface. WOUNDS. 2005; 17(9): 263-270.
10. Barnea Y, Amir A, Leshem D, et al. Clinical comparative study of Aquacel and paraffin gauze dressing for split-skin donor site treatment. Ann Plast Surg. 2004;53(2):132-136.
11. Kogan L, Moldavsky M, Szvalb S, Govrin- Yehudain J. Comparative study of Aquacel and Silverol treatment in burns. Ann Burns Fire Disasters. 2004;17(4):201-207.
12. DM, Foster KN, Hermans MHE, Rick C, 2004. AQUACEL® Ag in the management of partial-thickness burns: Results of a Clinical Trial. J. Burn Care Rehabil; 25:89-97.
13. Bishop SM, Walker M, Rogers AA, Chen WYJ. Moisture balance: optimising the wound-dressing interface. J Wound Care. 2003; 12:125-128.
14. Assessment of the in-vitro properties Avelle™ Negative Pressure Wound Therapy Dressing. WHRI4520 MS128. Data on fi le. 2015. ConvaTec.
15. Hoekstra MJ et al. A histological comparison of acute inflmamatory responses with a hydrofibre or tulle gauze dressing. J Wound Care. 2002
16. HFM-2015-017. Data on file. 2015. ConvaTec Inc.

Hoftealloplastik – 4 dages behandling

Patient

Sår

Behandling og resultater

Næste case-studie: Lukket kirurgisk incision – 6 dages behandling