NEGATIVE PRESSURE WOUND THERAPY (NPWT) AND HYPERBARIC OXYGEN THERAPY (HBOT) AS A SUPPORTIVE TREATMENT OPTION IN HIGH PRESSURE INJECTION FOOT INJURY marin.marinovic2@gmail.com

PE121

NEGATIVE PRESSURE WOUND THERAPY (NPWT) AND HYPERBARIC OXYGEN THERAPY (HBOT) AS A SUPPORTIVE TREATMENT OPTION IN HIGH PRESSURE INJECTION FOOT INJURY

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Janko Rožić jrozicm@gmail.com Clinical Hospital Center Rijeka Department of Vascular Surgery Rijeka Croatia

Mirna Bobinac bobinacm@yahoo.com Clinical Hospital Center Rijeka Department of Anesthesia and Intensive Care Rijeka Croatia

Vlatka Vujnović Đukić vlatkavd24@gmail.com Clinical Hospital Center Rijeka Department of Anesthesia and Intensive Care Rijeka Croatia

Melita Kukuljan melita.kukuljan@medri.uniri.hr Clinical Hospital Center Rijeka Department of Radiology Rijeka Croatia Faculty of Health Studies, University of Rijeka

Croatia

Poster Exhibition only

We present a patient with a foot injury caused by high pressure injection energy. A 40-year-old patient was injured by sandblasting machine in a self-inflicted accident He was treated in local hospital for ten days using conservative dressing. After ten days, he was admitted to our hospital for further surgical treatment.

Negative Pressure Wound Therapy (NPWT) was applicated after surgical treatment was performed and all necrotic tissue and fibrin deposits were removed. The starting therapy was continuously 125 mm Hg of vacuum in combination of HBOT.

After ten days of NPWT the wound defects were filled with granulation tissue and split thickness skin graft was applied. Skin graft was additionally fixed with NPWT using continuous therapy at -100 mm Hg for a period of four days. Complete acceptance of all skin grafts was found after removing NPWT, except for a small deep section of the wound in the medial malleolar region. In the following four days the entire wounded area had healed. HBOT ensured rapid reduction of edema, better oxygenation and blood supply of the affected region.

Combination of HBOT and NPWT as a early medical treatment option in wound healing after HPII injury of the foot can be a good choice. After good debridement and removing all non-vital and necrotic tissue and foreign particles, HBOT and NPWT can create a good conditions for acceptance of the skin graft. Treating our patient with these procedures finally had a very good functional and aesthetic result.