This case report describes the treatment of a 67-year old female patient who suffered third-degree burns on her right hand from boiling oil during an epileptic seizure. She was initially treated with topical sodium hyaluronate and paraffin gauze debridement, followed by escharectomy and a skin substitute graft which partially failed. Negative pressure wound therapy (NPWT) was then used in an outpatient setting for 20 days, alternating with 10 days of iodoform gauze dressing, followed by 12 more days of NPWT. This resulted in bone coverage, re-epithelialization, and an excellent healing outcome using a partial thickness skin graft. NPWT was concluded to be

1. NEGATIVE PRESSURE WOUND THERAPY IN THE TREATMENT
OF THIRD-DEGREE BURN OF THE HAND: A CLINICALLY
SIGNIFICANT CASE REPORT
T Anniboletti, M Palombo, S Moroni, F De Vita, G Delli Santi, P Palombo.
Burns and Plastic Surgery Center (Rome, Italy)
Introduction: We report the clinical case of a 67 years female, epileptic, who referred to us for
third-degree burns with exposed bones of the right hand occurred with boiling oil during an
epileptic crisis.
EP 557

2. Materials and Methods: The patient was admitted to our burn center and she was treated initially with
the sodium hyaluronate topical (Bionect-start ™, Fidia , Italy) and paraffin gauzes for debridement of the wound,
and then nine days after the accident we performed escharectomy with the application of a skin substitute
(Matriderm ™ , Medskin Solutions) and partial thickness grafts.
NEGATIVE PRESSURE WOUND THERAPY IN THE TREATMENT
OF THIRD-DEGREE BURN OF THE HAND: A CLINICALLY
SIGNIFICANT CASE REPORT
T Anniboletti, M Palombo, S Moroni, F De Vita, G Delli Santi, P Palombo.
Burns and Plastic Surgery Center (Rome, Italy)
EP 557

3. Materials and Methods: Since the grafts taking partially failed we decided to use the negative pressure
wound therapy therapy (NPWT) in outpatient setting (with medications three times a week) using the NPWT
hand kit. The NPWT (20 days) was alternated with a period of 10 days in which we used 10% iodoform gauzes
and then 12 days of NPWT again.
NEGATIVE PRESSURE WOUND THERAPY IN THE TREATMENT
OF THIRD-DEGREE BURN OF THE HAND: A CLINICALLY
SIGNIFICANT CASE REPORT
T Anniboletti, M Palombo, S Moroni, F De Vita, G Delli Santi, P Palombo.
Burns and Plastic Surgery Center (Rome, Italy)
EP 557

4. NEGATIVE PRESSURE WOUND THERAPY IN THE TREATMENT
OF THIRD-DEGREE BURN OF THE HAND: A CLINICALLY
SIGNIFICANT CASE REPORT
Results: The patient achieved an excellent result with bone coverage and re-epithelialization
that was completed using a partial thickness graft.
T Anniboletti, M Palombo, S Moroni, De Vita, G Delli Santi, P Palombo.
Burns and Plastic Surgery Center (Rome, Italy)
EP 557

5. Conclusions: We therefore believe that the treatment with NPWT has been optimal to
allow deep tissue closure and to avoid more invasive treatments, and we believe the
negative pressure-free period be able to enable an influx of blood vessels by the new
vessels, promoting granulation.
NEGATIVE PRESSURE WOUND THERAPY IN THE TREATMENT
OF THIRD-DEGREE BURN OF THE HAND: A CLINICALLY
SIGNIFICANT CASE REPORT
T Anniboletti, M Palombo, S Moroni, De Vita, G Delli Santi, P Palombo.
Burns and Plastic Surgery Center (Rome, Italy)
EP 557