Clinical Case Report

Pressure Injury – October 2016

Important Information About This Case Report
This historical case report describes an individual clinical experience and is provided for healthcare-professional information only. Results may vary and cannot be attributed to LIGASANO® alone. Products and clinical practices described may differ from current U.S. product availability and labeling. Always refer to the applicable current U.S. Instructions for Use. This report does not establish payer coverage, coding, reimbursement, or medical necessity.

October 2016 | Practical Experience Report by Helga Huber, Medical Assistant and VERAH, Lower Bavaria, Germany

Patient Data and Medical History:

An 83-year-old female patient has been immobile and residing in a nursing home since June 2015. Her pre-existing conditions include type 2 diabetes, incontinence, and obesity.

  • Fig. 1: on May 22, 2015: wound condition before admission to the nursing home
  • Fig. 2: July 31, 2015: wound condition before wound treatment with LIGASANO®

Dressing change on August 3, 2015:

During the initial dressing change, we observed a contaminated and heavily reddened wound. Mechanical debridement was performed with LIGASANO® Green Scrubber; no pain was reported during the procedure. The cavities and undermined areas were filled with LIGASANO® White Dressing up to the wound edges. The wound was then covered with a 4 x 4 x 0.4 in (10 x 10 x 1 cm) LIGASANO® White Dressing. For fixation, a non-woven, elastic adhesive sheet dressing was used. Additionally, the patient was positioned on both a green LIGASANO® Pressure Relief Foam sheet and a white LIGASANO® Pressure Relief Foam sheet to reduce pressure. The dressing was changed three times a week.

  • Fig. 3a and b: August 3, 2015, left buttock: wound cleansing with LIGASANO® Green Scrubber and Octenisept® wound disinfection
  • Fig. 3b:
  • Fig. 3c:
  • Fig. 3c and d: August 3, 2015, right buttock: wound cleansing with LIGASANO® Green Scrubber and Octenisept® wound disinfection
  • Fig. 4a: August 5, 2015: LIGASANO® White Dressing during removal from the wound cavity
  • Fig. 4b: August 5, 2015: the wound bed shows significantly fewer coatings
  • Fig. 5a: August 7, 2015: wound appearance after removal of the LIGASANO® White Dressing
  • Fig. 5b: August 7, 2015: packing the cavities with LIGASANO® White Dressing
  • Fig. 6: dressing change on August 12, 2015: the wound is free of coatings and well granulated
  • Fig. 7a: dressing change on June 17, 2016: the wound is almost healed
  • Fig. 7b: June 6, 2016: packing the cavities with LIGASANO® White Dressing
  • Fig. 8: wound condition on September 16, 2016: the wound is completely healed

Conclusion on September 16, 2016:

The wound has completely healed. However, due to excessive sweating from various medications, the patient frequently experiences macerations and new skin defects. To prevent these issues, we continue to apply sterile LIGASANO®