wound-care-microbiology-2019-posters-abstracts

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Page 49
allied
academies
Joint Event
February 21-22, 2019 | Paris, France
Microbiology & Applied
Microbiology
2nd International Conference on World Congress on
Wound Care, Tissue Repair
and Regenerative Medicine
&
Journal of Trauma and Critical Care | Volume 3
Combining advanced treatment modalities for complex wounds
Lucian G Vlad
Wake Forest School of Medicine, USA
As wound care practitioners we are facing increasing
number of patients with complex wounds and
sometimes high recurrence rates, especially for diabetic foot
ulcers or venous leg ulcers. As such, after the “standard of
care” has failed, we are forced to come up with different
and sometime innovative approaches to treatment plan.
There is an ever-increasing number of treatment options
and products available presented as “advanced treatment
modalities”. Each of these treatment modalities have more
or less complete data that show 50% or 70% of patient that
heal or close at 12 or 16weeks, etc. Sometimes these patients
are facing severe and advanced disease state that interfere
with wound healing no matter what treatment plan is used.
I would like to present/share my clinical experience with
combination of some of the treatment methods used
for challenging situations that allowed a good outcome.
Considering that wounds and patients present in different
stages or healing it would make sense to consider a
standardized approach based on the presentation stage.
Case 1: Refractory VLU treated with collagen scaffold, NPWT,
compression, epidermal grafting
Case 2: DFU with osteomyelitis treated with outpatient bone
resection, dermal matrix, NPWT, total contact casting and
HBO
Case 3: DFU/ abscess treated with dermal scaffold followed
by micrografting procedure in outpatient settings
Case 4: Refractory DFU treated with hyaluronic acid dermal
matrix followed by epidermal grafting
Case 5: refractory elbow pressure ulcer treated with
NPWT, collagen scaffold, micrografting technique and cast
immobilization.
e:
J Trauma Crit Care, Volume 3
DOI: 10.4066/2591-7358-C1-003