 |
|
|
|
|
|
||||||||||||||||||||||||||||||||||||||
 |
|||||||||||||||||||||||||||||||||||||||||||
|
The management of contaminated wounds and pressure sores is frustrating, time consuming and costly. An open non healing wound can be painful, is always at risk for infective episodes and should be closed quickly. The Proxiderm can simplify a difficult procedure, avoid general anesthesia with its associated complications, is less traumatic and results in a quicker recovery Case Report 4
Figure 1 A 84 year old bed bound diabetic patient with a left trochanteric pressure sore of 8 months duration measuring 10.3 cm by 13.5 cm. Figure 2 Appearance after debridement. Figure 3 Prior to application of Proxiderms, #2/0 nylon sutures were placed and tied 1 to 2 cm from the wound margins at 2 cm intervals to approximate the wound margins. The wound is lightly packed with dressings impregnated with anti-microbial medication of the physicians choice. Proxiderm models PS 460 are selected. When multiple devices are used, the spacing between the Proxiderms is approx. 2 cm.
Figure 4 Four by four dressings and combines are placed beneath the ends, between and over the Proxiderms to assist in stabilization and minimize external pressure. Figure 5 The Proxiderms and padding are secured to the patient by Elastoplast and/or adhesive tape. Figure 6 The wound was closed by suture in eight days after two, three day applications and one, two day application of Proxiderms. Appearance at eight days.
Figure 7 Appearance at 21 days. No recurrence at 7 months, patient deceased. Case Report 5
Figure 1 A 82 year old bed bound diabetic patient developed a necrotic trochanteric pressure sore measuring 8.2 by 10.3 cm with bone exposed. Figure 2 The wound is debrided. A thin rim of this fibro-cutaneous tissue is removed by sharp dissection and the edges of the wound are undermined at a deep supra fascial level about 2 to 3 cm., a drain is left in place.
Figure 3 Prior to application of Proxiderms, #2/0 nylon sutures were placed and tied 1 to 2 cm from the wound margins. After advancement of the wound margins there was a defect of 1.7 by 5.9 cm that could not be closed by suture. The defect is lightly packed with dressings impregnated with anti-microbial medication of the physicians choice and Proxiderm model D 460 are applied. When multiple devices are used, the spacing between the Proxiderms is approx. 2 cm. Figure 4 The entire
wound was closed by suture on day 7 after three applications of
Proxiderms. Photo appearance at 21 days. Patient deceased, no recurrence at 12 months. Case Report 6
Figure 1 A 34 year old bed bound stroke patient with a trochanteric pressure sore measuring 7.2 by 7.8 cm. Figure 2 The wound is debrided. A thin rim of this fibro-cutaneous tissue is removed by sharp dissection and the edges of the wound are undermined at a deep supra fascial level about 2 to 3 cm. After debridement the wound measured 7.5 cm by 10 cm and the skin was very taut.
Figure 3 Prior to application of Proxiderms, #2/0 nylon sutures were placed through red rubber ``booties"and tied 1-2 cm from the wound margins at 2 cm intervals to approximate the wound margins. The wound is lightly packed with dressings impregnated with anti-microbial medication of the physicians choice and Proxiderm model D 460 and PS 460 are applied. When multiple devices are used, the spacing between the Proxiderms is approximately 2 cm. Figure 4 There were 6 applications of Proxiderms over 12 days and the wound was closed by suture on day 12. No recurrence at 8 months, patient deceased. |
|||||||||||||||||||||||||||||||||||||||||||
 |
|||||||||||||||||||||||||||||||||||||||||||
|
Introduction | Instructions | Medical Publications | Clinical Cases | Email |
|||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||
