Case study: Four bilateral lower extremity (BLE) venous stasis ulcers (VSU)

Wound type:

Venous stasis ulcers

Patient

72-year-old Caucasian male

History

Past medical history includes chronic venous stasis ulcers, osteomyelitis, congestive heart failure, irritable bowel syndrome, facial reconstruction, ankle surgery, and vascular surgery.

Dramatic improvement after three weeks of therapy*
*Individual results will vary

Wound presentation

  • Patient was referred with a non-healing wound on the left third finger and an infection that was being treated with amoxicillin, clavulanic acid and silver sulfadiazine
  • Infected status was post excision and curettage and cauterization of multiple viral warts on both hands

Treatment

  • Surgical debridement of BLE ulcers done with VERSAJET◊ Hydrosurgery System. Leg biopsy performed in the operating room.
  • Daily application of SANTYL◊ Ointment applied nickel thick, edge to edge on all wounds, covered with moist to dry Dakin’s solution, wrapped with Army Battle Dressing and secured with compression bandage.
Image

Day 1: Left Leg

  • Both wounds are 80% tan slough, 20% pink and moist wound bed
  • Lateral wound measures 21cm x 9cm x 0.3cm depth
  • Medial wound measures 19cm x 11cm x 0.3cm depth
Image

Day 19: Left Leg

  • Both wounds are 75% red and moist wound bed, 25% fibrin
  • Lateral wound measures 21cm x 8cm x 0.3cm depth
  • Medial wound measures 15cm x 8.1cm x 0.2cm depth
  • Use of hypochlorite topical solution is discontinued
  • A dry dressing is applied with a 4x4 compression bandage to wound
  • Continued with daily SANTYL Ointment application and dressing changes
Image

Day 26: Left Leg

  • Lateral wound is 60% pink and moist wound bed; 40% epithelial islands
  • Lateral wound measures 19.8cm x 8cm x 0.1cm depth
  • Medial wound is 80% pink and moist wound bed; 20% epithelial islands
  • Medial wound measures 14cm x 7.5cm x 0.1cm depth
  • Discontinued SANTYL Ointment
Image

Day 1: Right Leg

  • Both wounds are 85% tan slough, 15% pink and moist wound bed
  • Lateral wound measures 14cm x 8cm x 0.3cm depth
  • Medial wound measures 18cm x 11cm x 0.3cm depth
Image

Day 26: Right Leg

  • Both wound beds are 60% pink and moist with 40% epithelial islands
  • Lateral wound measures 9.6cm x 5cm x 0.1cm depth
  • Medial wound measures 14cm x 8cm x 0.1cm depth
  • Discontinued SANTYL Ointment

Result

Dramatic improvement after three weeks of therapy*
*Individual results will vary

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