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Fistulas and surgical wounds Texts and images (c) Ligamed Case report 1 - Wound treatment with LIGASANO® for inflamed PEG puncture site Patient data and anamnesis: 2-year old girl from Lower Bavaria, Z.n. epileptic encephalopathy, a PEG plant due to refusal to eat was carried out on 05.09.2016 in Augsburg. First daily bandage change, cleaning with NaCl, supply with Metalline. Inflammation of the injection site, pus focus visible, swollen. Presentation at the paediatrician. Recommendation: Change of dressing twice a day, cleaning with Octenisept, if necessary antiobiotic ointment in case of further deterioration. From 14.09.2016 Start of treatment with LIGASANO®: Cleaning twice daily with Octenisept, application of a sterile LIGASANO® slotted compress 7.5 x 7.5 x 1 cm. Fig. 1: 16.09.2016 cleaning with Octenisept, application of antibiotic ointment for two days, dressing change once a day with LIGASANO® white sterile 7.5 x 7.5 x 1 cm Fig. 2: 23.09.2016 Significant improvement, further dressing change once a day with LIGASANO® white sterile 7.5 x 7.5 x 1 cm, ointment supply ended. Fig. 3: 10.10.2016 Minimal inflammation still present, further dressing change once a day with LIGASANO® white sterile 7.5 x 7.5 x 1 cm Fig. 4: 23.10.2016 complete healing of the inflammation. Fig. 5: 23.10.2016 Further use of the slit compress made of LIGASANO® white sterile 7.5 x 7.5 x 1 cm Conclusion: A very simple, inexpensive and allergen-free supply. The slit compresses made of LIGASANO® white dressing material are still used as pressure protection and prophylaxis. Author: Barbara Hinz, nurse, wound expert, from Landshut, German (c) Ligamed Padding of hoses, catheters and tubes Prefabricated slit compresses Case report 2 - Wound treatment with LIGASANO® for abscessing sinus pilonidalis Patient data / anamnesis: 33 years, male, abscessing sinus pilonidalis (recurrence), condition after excision, open wound treatment in November 2014 with abscess left lateral to the penis root, condition after excision, open wound treatment in April 2013 with abscessing sinus pilonidalis, condition after pit-picking, nicotine abuse. In September 2015 an excision of the abscessing pilonidal sinus was performed. Histological findings: Pilonidal sinus with florid and chronic fibrosing inflammation. Pretreatment in the clinic: Several times daily showering of the wound. Treatment with compresses was performed as wound filler and wound covering. A Fixomull® stretch polyacrylate adhesive plaster was used for fixation. The patient presented for the first time on 27 October 2015 at our WZ® Wound Centre with severe pain in the area of the wound and wound environment under drug pain therapy with Cox-2 inhibitor - Arcoxia 90 mg in the morning. The wound environment showed no signs of irritation. There was a slight bleeding in the area of the wound margin. The wound depth was 2.5 cm up to the subcutis. 80% of the wound bed was covered with fibrin, which was strongly attached to the wound bed. Isolated granulation islands appeared. A wound odour was present when the dressing was removed. A wound swab was taken at first admission with the finding of colonisation by Corynebacterium sp. and coagulase-negative staphylococci. On 29.03.2016 a control smear was taken, in which only isolated erythrocytes, leukocytes and epithelial cells were found. The local therapeutic wound treatment in the WZ® Wound Centre was carried out as follows: Wound cleaning: Wet-dry phase with a wound cleansing solution based on a singlet oxygen, NaOCl (ActiMaris®). Wound filler: Tamponade with LIGASANO® Wound strip 300 x 2.5 x 0.4 cm, white, sterile. Wound coverage: Zetuvit® plus10 x 20 cm. Fixation with Mefix® 11 cm x 10 m. Frequency of dressing changes daily, with exudate removal 3-4 x weekly. Relatives were instructed on dressing changes. In the context of the reduction of patient relatives, particular emphasis was placed on hygienic measures, nicotine refusal, pain medication intake and nutritional substitution. A seat cushion was prescribed as an aid to reduce or distribute pressure. Fig. 1: 27.10.2015 Fig. 2: 17.11.2015 Fig. 3: 03.12.2015 Fig. 4: 22.12.2015 Fig. 5: 14.01.2016 Fig. 1: 27.10.2015: Wound size 8.37 cm2, wound depth 2.5 cm, pain according to NRS: 8/10 Fig. 2: 17.11.2015: Wound size: 4.35 cm2. Wound contraction visible, epithelial tissue in the wound area is stable. Wound depth: 1.8 cm. Due to the local therapeutic measure with the LIGASANO® wound dressing used, white, sterile, pain reduction could be achieved according to NRS: 3/6. Fig. 3: From 03.12.2015 a change in therapy was performed. Wound cleansing was left untreated, the absorber was replaced by a LIGASANO® wound dressing. Fixation remained. Frequency of dressing changes increased to 4x weekly. Fig. 4: 22.12.2015: Wound size 0.31 cm2, wound depth 0.1 cm, pain medication discontinued since 14.12.2015. Fig. 5: 14.01.2016: Stable, epithelialized wound, recurrence-free until August 2016. Summary / Conclusion: The LIGASANO® Wound Tape 300 x 2.5 x 0.4 cm, white, sterile shows a very good adaptation to the wound contours without exerting pressure on the wound. Granulation and wound contraction took place very quickly with simultaneous reduction of exudation and significant pain reduction. Author: Heidi Jodl, health and nurse, AZWM®, head of the WZ® Wound Center Augsburg (c) Ligamed Back to applications Back to products

Biotechnology - Extremities OASIS® Extracellular Matrix Cook Biotech’s advanced tissue-repair products are derived from porcine small intestinal submucosa (SIS) and other ECM-based biomaterials. They are used to manage multiple types of wounds, including burns, diabetic ulcers, venous ulcers, and trauma wounds. Surgical applications include hernia repair, fistula repair, otologic repair, and soft-tissue reinforcement. Document OASIS Instruction for use up Video Oasis OASIS Brochure EN Back to Biotechnologie Back to products

PPE-Products Our articles are high-quality, certified products that guarantee protection and safety. Together for safety, because your health is important to us. Aseptic Aqua Clean Alcohol-free antiviral and antibacterial hand sanitizer. Free from fragrances and other toxic chemicals. Designed for quick action and frequent use. Non-flammable and non-sticky when dry. Active against a wide range of viruses and bacteria Can be used repeatedly Alcohol & fragrance free No dryness or irritation Non-flammable 100% Triclosan free Refill packs to reduce costs and achieve long-term use Eco-friendly refill packs Information Aseptic EN To the shop Back to PPE Products Back to procuts

epicite hydro - the hydro-active dressing for an ideal wound healing environment The biotechnology derived cellulose provides unique properties to the wound dressing epicitehydro. It contains a minimum of 95% isotonic saline solution due to its very dense and homogeneous structure. Creates a supportive moist environment to the wound with a favorable hydrobalance and water vapor permeability. Absorbs excess wound exudates. 1 Provides an immediate cooling effect after its application. 2 Adapts easily to all types and shapes of wounds and can be cut to a sizable fit. Dries out during the healing process and after successful epithelization can be peeled off easily and nearly pain-free. Easy to store (5 – 30°C). The unique structure of epicitehydro provides plenty of moisture to the skin Indications epicite hydro has been developed to support the healing of acute dermal wounds. It is proven for superficial and deep partial thickness wounds with a slight to moderate level of exudate. Superficial and deep partial thickness thermal or chemical burn wounds (1st and 2nd degree) Scalds Skin graft donor sites Abrasions Lacerations epicite hydro sets new standards for an advanced wound management Less pain and stress for patients due to the reduced number of dressing changes Can optionally be soaked with antiseptic solutions and is easy to apply Reduces nursing time and shortens hospital stay Application 1. Wound debridement. Ensure a good hemostasis. Assessement of wound depth. 2. Optional step: epicite hydro can be soaked for approximately 30 minutes in commonly used antiseptic solutions (like Octenidine or PHMB) 3. Apply epicitehydro on the wound. It should cover the surrounding healthy tissue by at least 1-2 cm. 4. For larger wounds, apply further epicite hydro dressings with overlaps of 1-2 cm. epicite hydro can be cut to fit any size of wound. 5. Apply one layer of fatty gauze. 6. If necessary, put material to absorb the wound exudate like a gauze compress on the fatty gauze for the first three days. Then use a fixation bandage. 7. The healing process is successful, when epicitehydro is dried out and the edges begin to peel. 8. The detached material should be cut off during each wound assessment until the entire dressing has come off (same principle as a natural scab). A wound dressing assessment should be done at least every 48 hours: epicitehydro and the fatty gauze remain on the wound. For superficial burn wounds (2a degree): no dressing change required. For mixed superficial and deep partial thickness burn wounds (2a & 2b degree) a dressing change may be required: Rehydrate epicitehydro for an easy and nearly pain-free removal. After assessment of the wound, apply a new epicitehydro dressing. Epicite hydro prospect english Epicite hydro Video english link link link link link link link link link link link link link link link link link link link link link link link link link link link link link link link link Zurück zur Produktübersicht

COFLEX TLC Moderate mobility Milliken's CoFlex TLC sets offer patients more freedom and allow for greater mobility. Rely on Milliken CoFlex TLC to provide patients with excellent care and comfort Short-stretch bandages for active patients with oedema Odour and itch minimisation features Visual indicators to guide therapeutic compress Easy to apply Comfortable and breathable, lightweight and thin Non-slip Nylon stocking included in each set Video Video application TLC Application and removal tips Apply wound dressing and select compression set based on patient's ABI. Layer 1 – Foam layer 1 4 2 3 Layer 2 – Comression layer 5 8 6 9 7 10 Product information Video Video application TLC Back to compression therapy Back to prodcuts