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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