Silver Sulfadiazine 1%
Silver Sulfadiazine (SSD) plays a role in preventing the microbial contamination, thus improving the hyaluronic acid ability to support wound healing. HA-SSD caused a significantly more rapid re-epithelialization than SSD alone.
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Trophic wound
Patient: Male 51 years old.
Suffering from chronic cerebral vasculopathy. Femoral aorta bypass due to critical ischemia in the right leg.
Diagnosis and treatment:- Trophic wound on right knee and tibia. Here we consider the wound on the right tibia
T= 0
The wound shows medium exudation, fibrin in the wound bed and inflamed, fragile skin around the wound. The patient complains of very intense pain (score of 9 on the VAS scale). The wound is cleansed with physiological solution followed by application of Hyalo4® Plus to stimulate the healing processes and prevent infection, a non adherent gauze as secondary medication and elastic bandage to secure them in place. Medication is changed twice a week.
T= 1 (1 days)
The wound shows advanced re-epithelialisation, with no signs of inflammation and correct healing structure. There is a reduction in the amount of pain the patient complains of (score of 4 on the VAS scale).
T= 2 final (6 days)
On discharge the wound had completely healed. The patient is prescribed a check-up in two weeks.
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Multiple venous ulcers
Patient: Female 79 years old.
Suffering from: CKD, atrial fibrillation, senile dementia.
Diagnosis and treatment:- Multiple venous wound on the internal malleolar zone of right leg
- Slightly exuding
- Slightly fibrous bed
- Not very vital margins
- Oedematous skin around the wound
T= 0
The wound is cleansed with physiological solution and then Amukine Med 0.05 is applied as antiseptic. Decision to apply Hyalo4® Plus gauzes impregnated with hyaluronic acid and silver sulfadiazine to stimulate the healing processes and prevent infection, covered with a medium stretch compression bandage to treat the oedema. Medication change every three days.
T= 1 (28 days)
The size of the wound was smaller, the bed cleaner, with signs of granulation. Slightly improved margins but which were still partly oedematous. The wound is cleansed with physiological solution and then Amukine Med 0.05 was applied as antiseptic and then Hyalo4® Plus (hyaluronic acid and silver sulfadiazine cream) to stimulate the healing processes and prevent infection, covered with a medium stretch compression bandage to treat the oedema. Medication change every three days.
T= 2 (30 days)
The wound was completely healed and closed. Excellent repair result. Fisian cream was applied to patient’s leg, then a Gloria fix AD knee sock and class 1 compression stocking.
