May 2019 | Practical Experience Report by Sabine Herler, Nurse and Wound Specialist (ICW), and Sybille Ullrich, Nurse and Wound Specialist (ICW), both Diakonie Hospital Bad Kreuznach, Plastic Surgery / Wound Management
Patient Data and Medical History:
A 75-year-old male patient with a post-traumatic ulcer on the left tibia, which developed following an impact trauma at the beginning of March 2019. The patient is on anticoagulants and has post-thrombotic syndrome, with treatment involving compression bandages.
-
Fig. 1: at the beginning of March 2019, the wound was partially freshly bleeding and measured 2.8 x 0.8 in (7 x 2 cm). It resulted from impact trauma, had moderate exudate and gaping wound edges. The wound environment above was edematous and tense. -
Fig. 2: on March 29, 2019, the wound measured 2.0 x 0.8 in (5 x 2 cm). Moderate exudation with gaping wound edges and a fibrin-covered wound bed. The patient refused surgical treatment with split-thickness skin grafting. Wound cleansing was performed with LIGASANO® Green Scrubber and wound irrigation solution. The wound was treated with LIGASANO® White Dressing, with dressing changes every three days, and compression dressing was continued. -
Fig. 3: on May 2, 2019, the wound was almost completely epithelialized. The treatment was completed with full wound closure achieved by May 16, 2019.
