Postsurgical wound treatment with LIGASANO®
Practical experience report by: Raphaela Hacker and Tobias Beutlrock, nurse therapists for wounds in Traun- stein, Germany
Patient details: The patient is a 45-year-old female geriatric nurse, farmer, and mother of three young children. She weighs 104 kg at a height of 1.68 m. At the end of January she pinched her abdomen in the zipper of her trousers and infected herself with bacteria, pre- sumably from a bird. Within three days, her abdo- men turned a deep shade of red, she spiked a high fever, and was in immense pain. She drove to the nearest hospital and was referred immediately to a larger clinic. She had acute renal failure and was nearly non-re- sponsive. That same night the toxic tissue was re- moved (a total of 7.5 kg!). In the ICU she was treated with analgesics, was responsive, had not been ven- tilated, and was treated with dialysis and antibiotics. The wound was kept open with sterile sheets.
Wound treatment with LIGASANO® white sterile begins on February 4th
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LIGASANO® white sterile (100 x 80 x 1 cm) was packed into the wound once daily. After three weeks, a partial closure was achieved. The remain- ing wound was treated with NPWT, with a total of seven intervals every three days. At the beginning of April, the wound was closed with a split skin graft that was taken from the thigh. The patient was re- leased from the hospital in the middle of April and received daily check-ups from the family doctor. Her general condition and mental state had improved drastically. The area where the sampling of the split skin graft was taken has healed remarkably. The patient does not currently require any medical treatment. She has since regained weight, therefore the aesthetic of the wound is not as expected.
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