Case Study: Non-healing venous leg ulcer

Overview

Patient history

85 year old male presented with right lateral venous leg ulcer, which he had had for 17 years. Patient had both anaemia and vasculitis.

Initial assessment

The wound measured 11cm in length by 16cm in width by 0.7cm in depth. Thick slough was present and high levels of exudate. The periwound skin was excoriated.

The patient recorded a pain level of 8 on VAS.

Previous treatment included potassium permanganate soaks, contact layer, gelling fibre, superabsorbent and a light bandage dressing. Wound had remained static despite dressing changes 3 x per week and antibiotic therapy.

Method

MaxioCel 4 week evaluation commenced, with the aim to protect granulation tissue, manage exudate and promote autolytic debridement.

Results

MaxioCel was used for an evaluation period of 4 weeks. By conclusion of evaluation:

  • Slough had reduced from 95% to 80% and granulation increased from 5% to 20%.
  • VAS pain score reduced from 8 to 6.

Images of venous leg ulcer before and after treatment with MaxioCel

Conclusion

Whilst wound measurements remained fairly static, this patient reflects the patient profiles commonly treated across our woundcare centres. Debridement was the main treatment objective for this patient’s static venous leg ulcer. In the first few weeks alone, a reduction in wound bed depth and pain was achieved which allowed the patient to have a doppler examination and commence compression therapy. The patient continued with MaxioCel dressings post evaluation.

 

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References

A transformative wound management approach with BMG™ technology – A national 50 patient case study series, preliminary report, Wounds UK 2022