Case 1

Necrotic Wound

Dr. Guido Ciprandi

Head of High Specialization Wound Care UOC Plastic and Maxillofacial Surgery
Bambino Gesù Pediatric Hospital, Rome – Italy

Diagnosis

Coffee burn, IIb-III^rd degree

Duration of the treatment

16 days

Product Used

Vulnamin Gel | Vulnamin Cream | Vulnamin INJ

Vulnamin Gel:
pretreatment and tissue induction

hyperhydrate necrotic tissue
induce autolysis
simultaneously stimulating granulation of vital tissue
If required coupled with a DACC technology

Vulnamin Cream

HA+4/6AA effects
Cavity measurement
Use of the syringe
Colors check
Granulating tissues
Edges
Periwound protection

1^st

Actions 1

Counterclockwise
Small quantities
Be gentle
Check the bleeding
Deep soft tissues loss
Around the neogranulation button

2^nd

Actions 2

Move the needle
Move the tool
Clockwise rotation (or everyday the same)
Pay attention to bleeding Stop/wash
Wait for 2’ (compression)

2^nd

3^nd

Inj-Induced NPWT changes

ONE Vulnamin Gel
TWO Vulnamin Cream – interval 4 days
2 NPWT
SIX Vulnamin Inj – every 4 days
4 NPWT

4^th

5^th

6^th

Dr. Ciprandi in Necrotic Wounds

No results found.