Case study: Wound in perineal area
Wound type:
Perineal wound
Patient
62-year-old female
History
Hypertension, diabetes mellitus, high cholesterol, and depression. Admitted to the hospital for perineal pain, chest pain, and dizziness.
85%
granulated tissue was established after 12 days*
*Individual results will vary
Wound presentation
- A suprapubic area boil (x1 week) that opened on its own
- Patient self-treated wound with topical antibiotics
- CT scan showed gas in the perineal area consistent with necrotizing fasciitis
- Patient was started on IV antibiotics including vancomycin, clindamycin, and piperacillin/tazobactam
- Wound surgically debrided; surgeon started Dakin’s dressings post-op
Treatment
After six days, patient was started on SANTYL◊ Ointment for debridement with Dakin’s moistened dressings; changed daily.
Image
Day 1
- Wound measures 20.0cm x 9.0cm; 10.0cm depth
- 100% grey/yellow slough
- SANTYL Ointment initiated with Dakin’s moistened dressings changed daily
Image
Day 3
- Wound measures 22.5cm x 9.0cm; 10.0cm depth
- 90% grey/yellow slough
- SANTYL Ointment continued with Dakin’s moistened dressings changed daily
Image
Day 12
- Wound measures 18.0cm x 8.0cm; 8.0cm depth
- 85% red and moist wound bed
- 10% marbling of grey/yellow slough
- 5% adipose tissue
- 85% granulated tissue established
- SANTYL Ointment discontinued
Result
85%
granulated tissue was established after 12 days*
*Individual results will vary
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