EP474 HONEYCOMB EXPANDEND POLYURETHANE SPONGE MANAGEMENT IN IN HARD-TO-HEAL WOUND TREATMENT- CASE REPORT.

Aim: Honeycomb expandend polyurethane sponge can be an effective device in hard-to-heal wound management. HEPS reduces on-wound pressure, promoting granulation and reducing counterpressure on recently formed granulation tissue. Mechanical contact with tissue promotes granulation tissue formation as well as performing tissue debridement. It also manages excess exudate production maintaining a moist wound enviroment. Method: In our case report a chronic infected ulcer in a diabetic-vascular patient has been treated. Medication has been performed following our therapeutic protocol by cleansing, disinfection, silver sulfadiazine and sterile lesion-shaped HEPS. Leg bandaging. Medication renewal once a week. Results / Discussion: The result we achieved was brilliant, lesions being completely healed within 50 days. Pain control has been excellent. Scarring result has been very satisfying. Conclusion: HEPS management improves cost-benefit ratio, diminishing hospitalization time and accelerating healing process and improving patient quality of life. Our protocol has proven to be safe, effective and cheap. In addition, scarring aesthetic result was excellent. [ABSTRACT FROM AUTHOR]