Fig. 1
Fig. 2
Fig. 3
First the patient was at the intensive care unit. The dressing was made traditionally with pads, moistened by saline solution. Fibrin and necrosis developed, daily chirurgical debridements were the consequence, which only were able to made under anesthesia. After a dressing change with LIGASANO® white PUR foam done twice, there was no persistence of fibrin and the wound cleaned itsself more and more.
We noticed a – for this case – very quick and efficient wound healing, because the therapy with antibiotics and the carcinoma disease had to be considered. We worked with a LIGASANO® white PUR foam in a bigger size, that was cut suitable to the wound. The interspace between the toes was dressed with LIGASANO® white, too, and the dressing was fixed with an elastic bandage. At this time we made a daily dressing change, and by help of an analgetic therapy it was tolerated almost without pain.
Fig. 4
Fig. 5
Fig. 6
Between fig. 1/2 and fig. 6/7 seven weeks passed. The result was so positive surprising, that the traumatologists renounced a skin grafting because of the quick wound healing. Also the D 5, taken for avital at the beginning, was saved under the therapy with LIGASANO® white PUR foam.
The patient was discharged from hospital after two month and treated as an outpatient.
Fig. 7