Pre- and postoperative wound treatment
Texts and images (c) Ligamed
Case report 1 -
Wound in the groin with undermining
Fig. 1 to 4 shows how a wound in the groin (state after abscess removal) with a depth of 3 cm and a wound undermining to the medial of 8 cm is provided with LIGASANO® white.
Fig. 1
Fig. 2
Fig. 3
For this wound care we chose LIGASANO® white in one centimeter thickness for tamponade or wound filling. Alternatively, you can also work with the LIGASANO® white wound strip. The wound was covered with LIGASANO® white in two centimeters thickness and fixed by an elastic bandage.
Fig. 4
Fig. 5
After two days, LIGASANO® was changed to white because the absorption capacity was exhausted. LIGASANO® white can be removed from the wound atraumatically and without pain (Fig. 5).
(c) Ligamed
Case report 2 -
abdominal, postoperative wound
The therapeutic effect of LIGASANO® white was particularly evident in the treatment of abdominal, postoperative wound healing disorders. LIGASANO® white was changed daily in the secretion phase until the wound bed was clean and granulated. In the second wound healing phase, the dressing was changed every two days. Care had to be taken that there was no adhesion between dressing and newly formed tissue.
​
Fig. 1
Fig. 2:
Fig. 3
From Fig. 1 to Fig. 3, three weeks have passed. In addition to the LIGASANO® white wound therapy, the wound margins were adapted in the granulation phase with Steristrips to further reduce the wound and to achieve a good cosmetic result.
(c) Ligamed
Case report 3 -
Wound treatment with LIGASANO® in postoperative wound
Patient data and anamnesis:
45 years, female, three small children, geriatric nurse and farmer. Weight 104 kg with a size of 1.68 m. At the end of January 2016, she pinched her stomach on the zipper of her pants and became infected with a bird germ. Within three days the belly was already crimson, the patient got fever and pain and drove to a nearby hospital. They immediately transfered them to a large clinic in the neighboring village. She had acute kidney failure, high fever and was now hardly responsive. That same night, the toxic tissue was removed (a total of 7.5 kg!). In the intensive care unit, she was only provided with pain medication, was responsive, not ventilated, and had dialysis and antibiotics. The wound was kept open with sterile surgical drapes.
​
Beginning of wound treatment with LIGASANO® white sterile on 04.02.2016.
​
LIGASANO® white, sterile, 100 x 80 x 1 cm was inserted once a day. After three weeks, a partial closure was already achieved. The rest were treated with negative pressure therapy, a total of seven intervals of three days each. In early April, the remaining wound was closed with split skin removal from the thigh. The patient was released in mid-April. Daily check by the family doctor. Her general condition and her mental state recovered amazingly well. The split skin on the thigh is also healed very well.
​
Fig. 1: 03.02.2016
Fig. 4: 15.02.2016
Fig. 7: 13.04.2016
Fig. 2: 06.022016
Fig. 5: 18.02.2016
Fig. 8: 23.05.2016
Fig. 3: 12.02.2016
Fig. 6: 01.03.2016
Fig. 9: 25.10.2016
The patient is currently no longer under medical treatment. By re-gaining weight, the cosmetic result of wound healing is not quite as satisfactory as expected.
Author: Raphaela Hacker, Nursing Therapist Wound ICW, Hospital Traunstein
(c) Ligamed