Case 1
Post Surgery
- 60 days after surgery – Saphenectomy.
- Treatment in Primary Care since discharge from hospital.
Diagnosis
Surgical Site Infection, SSI
Previous Treatment
- In 54 days take 4 different antibiotics.
- Pain 9/10 each treatment. No pain relief prescribed.
- Last treatment plan (4 weeks) – Cleanse with Povidone-iodine, hydrogel, sodium carboxymethylcellulose with 1,2% silver and polyurethane foam.
Reason for change
Patient said that was getting worse every treatment. Increasing pain
1st approach
-
Cleanse with super-oxidized purified water-based solution
-
Applied Vulnamin Gel
-
Polyurethane foam
-
New treatment in 48 hours
- Debridement of the necrosis
- Moderate exudate
- Less pain (6/10)
- Same treatment (48hours)
12 days after 1st approach
Change to Vulnamin Cream (72 hours)
15 days after 1st approach
Still on going…
Dr. Viviana Gonçalves
