Collagenase (from Vibrio Alginolyticus)
Patient: Female 97 years old.
Diagnosis:
- chronic pressure ulcer on the external malleolus in the right leg
- Approximately 3x2 cm
T= 0
The wound bed is covered with fibrin, with signs of granulation. The margins are clear but with signs of maceration. The wound is cleansed with physiological solution and then Hyalo4® Start - Ointment (collagenase and hyaluronic acid) is applied to remove the fibrin and stimulate the healing process. As secondary medication a thin hydrocolloid is used. Medication applied every four days.
T= 1 (42 days)
The image shows the reduced size of the wound, margins are clear vital and contracting, no signs of maceration and a clean and cleansed bed. Slight hyper-granulation on the wound bed. Given the results obtains so far, it is decided to continue with Hyalo4® Start - Ointment (collagenase and hyaluronic acid) to keep the wound bed clean and to stimulate the healing process. Secondary medication with thin hydrocolloid. Medication changed every four days.
T= 2 (54 days)
Wound well on the way to healing, with minimum size with respectto the beginning, vital and well cleansed bed, vital margins in reepithelialisation, healthy skin around the wound. It is decided to apply a thin hydrocolloid until final healing.
