Case study: Post-operative arteriovenous fistula (AVF) wound

Wound type:

Post-surgical

Patient

86-year-old male

History

Cerebrovascular disease, diabetes mellitus, anemia, coronary artery disease, hyperlipidemia, end-stage renal disease

AVF arm wound 100% resolved*
*Individual results will vary

Wound presentation

  • The wound is a post-operative wound located over an arterio-venous fistula (AVF) of the left arm that had recently been revised
  • Initially, the wound appeared to be 60% yellow-brown necrosis, 40% soft, pink granulation tissue with mild to moderate serosanguinos drainage

Treatment

This wound had been treated with triple antibiotic and a dry dressing changed daily for approximately two weeks prior to presenting at the clinic.

Image

Week 1

  • 18.2cm x 2.2cm x 0.3cm (depth estimated)
  • This wound had been treated with triple antibiotic and a dry dressing change for approximately two weeks prior to presenting at the clinic
  • SANTYL◊ Ointment ordered to be applied to wound bed, nickel thick, edge to edge and with Dakins 0.125% moistened gauze with roller gauze and elastic bandage compression daily
Image

Week 2

  • 18.1cm x 2.2cm x 0.2cm
  • 60% granulation tissue, 30% soft, pink granulation tissue, 10% epithelial with mild serous drainage
  • SANTYL Ointment applied to wound bed and Dakins 0.125% moistened gauze with kerlix and ACE bandage compression daily treatment continued
Image

Week 3

  • 18.1cm x 2.2cm x 0.2cm
  • 70% granulation tissue, 10% soft, pink granulation tissue, 20% epithelial with mild serous drainage
  • SANTYL Ointment applied 4x4 with roller gauze and elastic bandage compression daily; Dakins solution 0.125 discontinued at this visit
Image

Week 5

  • 1.5cm x 0.8cm x 0.1cm
  • 90% granulation 10% epithelial; no drainage
  • SANTYL Ointment applied 4x4 with roller gauze and elastic bandage compression daily

Result

AVF arm wound 100% resolved*
*Individual results will vary

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