Biologic therapy ice breaking in rheumatology, Case based approach with appli...
EWMA 2014 - EP433 APPLICATION OF AN ENZYME* FOR TREATMENT OF ONCOLOGICAL WOUNDS AFTER RADIOTHERAPY
1. page 1/5
Application of an Enzyme Alginogel® for treatment of
oncological wounds after radiotherapy.
• When faced with radiation dermatitis caused by
radiotherapy after surgical oncology, it is important
to obtain as quickly as possible a favorable wound
bed preparation with complete healing.
• The aim of this study is to demonstrate that the use
of an Enzyme Alginogel® is an enormous surplus and
provides comfort to the patient who has to deal
with a painful wound.
• Wound care is further complicated by tracheostomy
in the area of the wound bed which hampers the
fixation of dressings in the region of the throat.
Lieven Decavele
Clinical nurse specialist wound care
Onze Lieve Vrouw ziekenhuis Campus Aalst-Asse-Ninove
Moorselbaan 164, 9300 Aalst, Belgium
Lieven.Decavele@olvz-aalst.be 0032 53 72 88 61
2. page 2/5
Application of an Enzyme Alginogel® for treatment of
oncological wounds after radiotherapy.
• A 60-old male patient was treated for a laryngeal
carcinoma, a moderately differentiated
squamous cell carcinoma with bilateral jugular
gland metastasis.
• After removal of the jugular glands, the patient
was further treated by post-operative
radio-chemotherapy. Radiation dermatitis
developed at the height of the throat and the
trachea-bronchial region.
• The Enzyme Alginogel® combined with a one-
sided silicone wound contact layer was an ideal
dressing for this difficult to shield region.
Lieven.Decavele@olvz-aalst.be
06/25/2013
3. page 3/5
Application of an Enzyme Alginogel® for treatment of
oncological wounds after radiotherapy.
06/27/2013
07/04/2013
Lieven.Decavele@olvz-aalst.be
06/27/2013
4. page 4/5
Application of an Enzyme Alginogel® for treatment of
oncological wounds after radiotherapy.
The Enzyme Alginogel® combined with a one-sided
silicone wound contact layer.
07/10/2013
07/18/2013 07/18/2013
Lieven.Decavele@olvz-aalst.be
5. page 5/5
Application of an Enzyme Alginogel® for treatment of
oncological wounds after radiotherapy.
• The Enzyme Alginogel® based on alginates and an
antimicrobial enzyme system, debrided the
wound.
• Tissue granulation and full epithelialization were
achieved within 22 days followed by continuous
hydration of the irradiated region.
• By use of an Enzyme Alginogel® the wound healing
process progressed without complications.
• A comfortable patient mobility was obtained
during the whole healing process.
Lieven.Decavele@olvz-aalst.be