Case 2
45 year
Following the surgery, pressure injury on the right trochanteric region has developed.
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Case 1
Pressure Ulcers
- 65-year-old man
- Type II DM, Chronic Renal Failure (dialysis), PAD, CAD
- History of CABG and PTCA for PAD
- Stays in ICU for 15 days due to COVID
- Discharged from the hospital with unstageable PU in left heel
Patient History
The eschar was debrided by a surgeon after presence of sufficient arterial circulation was confirmed with an us doppler.
Wound treatment with topical antibiotic creams were initiated by the same surgeon.
The wound then enlarged in size and new eschar developed, hence the patient applied to our outpatient clinic..
Meds:
Clopidogrel
ASA
Statin
Metoprolol
Physical Examination
- When compared with the initial photo, new eschar was seen to developed; the wound was covered with devitalized tissues and cream debris; all were debrided and cleaned off.
- There was no sign of infection.
Treatment and Clinical Course
The Vulnamin Gel treatment started on April 28st and ended on May 13th.
The wound depth was 1 cm at the deepest, reaching the calcaneus bone; the Achilles tendon was partially exposed.
On May 13th, the treatment was changed. Vulnamin PWD and vulnamin cream were applied on the wound; and the wound was closed with foam dressing (Coloplast Biatain Foam).
The dressing change was performed every other day.
The treatment continued until the wound bed is totally filled with granulation tissue.
Then split thickness skin graft procedure was applied on June 28th.
Results
- Total of 33 applications were made
- The treatment lasted in 63 days
- After the grafting procedure, the areas that are left with non-union are being treated with Vulnamin Cream.
Dr. Ozker in Pressure Ulcers
Case 3
78 year
Following the surgery, pressure injury on the right trochanteric region has developed.
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