Case study: Venous ulcer on lower leg

Wound type:

Venous leg ulcer

Patient

71-year-old male

History

Hypertension, mitral valve insufficiency, hepatic encephalopathy, cirrhosis of the liver

100%
Proximal 2/3 of the ulcer achieved 100% epithelialization in 42 days*
*Individual results will vary

Wound presentation

  • A venous ulcer on the left anterior tibia after discontinuing use of medication, causing extreme edema

Treatment

Weekly sharp debridement, followed by cleansing with lactated Ringer's solution and application of SANTYL Ointment. Between visits, wound was cleaned, and SANTYL Ointment and an antibiotic cream were applied daily.

Individual results will vary

Image

Baseline

  • 8.9cm x 6.7cm; 0.3cm depth
  • Moderate erythema and no odor
  • 80% yellow fibrotic and 20% beefy red granular wound base
  • Beige slough covering the 20% beefy red granular wound base
  • +2 edema present to the lower extremity
Image

Day 19 (pre-debridement)

  • 7.8cm x 4.6cm; 2cm depth
  • Mild erythema and no odor
  • 30% white fibrotic and 70% beefy red granular wound base
  • +2 edema present to the lower extremity
Image

Day 19 (post-debridement)

  • Moderate erythema and no odor
  • 100% beefy red granular wound base
  • +2 edema present to the lower extremity
Image

Day 26

  • Mild erythema and no odor
  • 100% beefy red granular wound base
  • Beige slough covering 60% of granular wound base
  • +2 edema present to the lower extremity
  • 100% epithelialization at the proximal 2/3 of the ulcer, resulting in two separate ulcerations
Image

Day 42

  • Mild erythema and no odor
  • 100% beefy red granular wound base
  • +2 edema present to the lower extremity
  • By the end of treatment, approximately one-third of the wound closed and the remaining two-thirds was 100% epithelialized.
  • Treatment discontinuation information not available

Result

100%
Proximal 2/3 of the ulcer achieved 100% epithelialization in 42 days*
*Individual results will vary

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