EP121 NON-CONTACT, NON-THERMAL, LOW FREQUENCY ULTRASOUND ENERGY AS TREATMENT FOR PYODERMA GANGRENOSUM...European Wound Management Association (EWMA) Conference, May 3-5, 2023, Milan, Italy.
Aim: Pyoderma gangrenosum (PG) typically presents as painful destructive cutaneous ulcerations. The hallmark of the disease is painful ulcerations exacerbated by minor trauma leading to exaggerated skin injury. Surgical debridement is generally contraindicated in PG. We propose introducing low frequ...
| Publicado en: | Journal of Wound Management Vol. 24; no. 2; p. 97 |
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| Autores principales: | , , |
| Formato: | abstract proceedings research Journal Article |
| Publicado: |
Cambridge Publishing
Jul2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164968835&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164968835 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 27885771 MZEQ jtl: Journal of Wound Management issn: 27885771 maglogo: N pubinfo: dt: Jul2023 vid: 24 iid: 2 pid: 66266 pub: Cambridge Publishing artinfo: ui: 164968835 164968835 164968835 164968835 ppf: 97 ppct: 0 formats: fmt: @attributes: type: P tig: atl: EP121 NON-CONTACT, NON-THERMAL, LOW FREQUENCY ULTRASOUND ENERGY AS TREATMENT FOR PYODERMA GANGRENOSUM...European Wound Management Association (EWMA) Conference, May 3-5, 2023, Milan, Italy. aug: au: Kane, Haresh Jensen, Michael Chiu, Cullen affil: Kane Wound Care, Princeton, United States sug: subj: Pyoderma Gangrenosum Therapy Ultrasonography Utilization Noninvasive Procedures Congresses and Conferences Italy Italy ab: Aim: Pyoderma gangrenosum (PG) typically presents as painful destructive cutaneous ulcerations. The hallmark of the disease is painful ulcerations exacerbated by minor trauma leading to exaggerated skin injury. Surgical debridement is generally contraindicated in PG. We propose introducing low frequency ultrasound energy as an alternative to surgical debridement. Method: This is a 60 YO WF with chronic wounds from suspected PG, who originally presented to the ED in August 2021 with malodorous draining bilateral thigh wounds. Surgical debridement was not performed due to pathergy. The facility wound care team deemed the patient would benefit most from non-contact, non-thermal, low frequency ultrasound energy to address the significant necrotic tissue to the left medial thigh wound. This modality acts by selective emulsification and fibrinolysis of necrotic tissue, by up-regulation of intracellular activity with enhanced growth factor synthesis. The treatment was performed 3 times weekly, with an average duration of 20 min using 360 cc of normal saline. At each visit, the wound care team assessed the wound response to treatment looking at reduction in necrotic tissue, increase in granulation tissue, decrease in pain, and decrease in size. Results / Discussion: Wound surface area was dramatically reduced to full closure by a factor of 5.3 over a 6-month period of ultrasound treatment coupled with significant reduction in necrotic tissue and pain. The wound bed displayed prominent increase in granulation tissue. There were no readmissions to the hospital and no re-infections of the wound. Conclusion: Based on these results, we suggest a clear healing benefit using non-contact low frequency ultrasound energy in PG wounds, with the added benefit of being atraumatic and largely pain-free. pubtype: Academic Journal doctype: abstract proceedings research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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