Practice of Diabetology Carola Zemlin M.D., Wanzleben/Germany
Anamnesis
50 years old, male, type 2 diabetes mellitus, duration 10 years, diabetic polyneuropathy, coronary heart disease. Insulin therapy with two injections of combination insulin 30/70.
Wound healing disorder after amputation of the 2nd and 3rd right toe and metatarsectomy of the 2nd and 3rd right metatarsal bone, 9 days of hospital stay.
Local pre-therapy
Treatment with Rivanol compresses.
Actual findings at 2000/01/17
Smeary coated wound (dimension 9 x 23 mm with a depth of 6 mm) in the resection area. Warm feet, foot pulses good palpapel, classical symptoms of polyneuropathy.
Fig. 1: 2000/01/17
Fig. 2: March 2000
Beginning of the treatment with intense debridement. After this application of a sterile LIGASANO® white pack, soaked with blood of one´s own resp. Ringer´s solution. Already after two weeks beginning of epithelisation and complete closure in March 2000.
Study about the use of LIGASANO® white as initial wound dressing at foot disease caused by diabetics, of Carola Zemlin, M.D., internist/diabetologist. For the evaluation of the study please click here.