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Chronic wounds 

Direct insight into how it works

Here you will get an insight into the treatment methods for various wound healing supplies.

Case report 1 -
decubitus on the rump with wet necrosis

Patient data and anamnesis:

Pressure sores on the rump with wet necrosis on an 89-year-old, completely immobile patient. There is also diabetes mellitus with high blood sugar levels and MRSA infection. The patient is only partially oriented and capable of contact. For some weeks mobilization in the wheelchair is only occasionally possible. The care and nursing takes place via an outpatient nursing service 3 times a day and a home care service instead.

The patient lies on a alternating pressure system and is stored. The urine excretion is passed through a urostoma. There is a fecal incontinence with frequent stool frequencies. So far, the decubitus was performed with a fine-pored foam dressing in three-day rhythm. This treatment resulted in no result. Exudate levels are moderate

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Fig. 1: 02.02.2016

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Fig. 1: 10.02.2016

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Fig. 1: 02.02.2016

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Fig. 1: 19.02.2016

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Fig. 1: 02.02.2016

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Fig. 1: 09.03.2016

Fig. 1: 02.02.2016
Initially, a mechanical wound cleaning with polyhexanide solution and LIGASANO® intensive and soft was performed.

Fig. 2: 02.02.2016
Tamponade of the small undermining at 3 o'clock and covering of the wound surface with LIGASANO® white wound strip mini.

Fig. 3: 02.02.2016
Covering the wound area with LIGASANO® white sterile 15 x 10 x 1 cm and 24 x 16 x 1 cm. Fixation with adhesive fleece at the margin area. Dressing change every two days. In support of this, the patient was stored on LIGASANO® green 55 x 45 x 2 cm and LIGASANO® white 59 x 49 x 2 cm.

Fig. 4: 10.02.2016
Further mechanical wound cleaning with polyhexanide solution and LIGASANO®  intensive and soft. Complete replacement of necrosis by LIGASANO® alone.

Fig. 5: 19.02.2016
The moist necroses and coatings were increasingly removed by the treatment with LIGASANO® white. This results in an increase in wound depth. The surrounding skin with the smaller decubitus ulcers has calmed significantly and the lesions have healed.
The treatment is continued with the LIGASANO® white wound strip mini, the cover of the wound surface with LIGASANO® white sterile 15 x 10 x 1 cm and additionally with LIGASANO® white sterile 24 x 16 x 1 cm. Fixation with adhesive fleece at the margin area. Dressing change every two days.

Fig. 6: 09.03.2016
The entire surrounding skin is intact and non-irritant. The wound bed has cleared and shows granulation islands. Significant decrease in wound depth through granulation.

Author: Daniela Laskowski, nurse, wound expert from Fulda, correspondence through LIGAMED® medical Produkte Gmb

(c) Ligamed

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