Patient with chronic venous insufficiency (CVI) and minor ulcerations on the front right lower
Patient with chronic venous insufficiency (CVI) and minor ulcerations on the front right lower leg. This is to show how the patient has been managing his defect improperly at home, decelerating healing. It was necessary to educate and instruct the patient again.
Removal of previously applied bandages
The wound has already been treated with Tecasorb, however, improperly
The patient had never applied compression bandage
He had not been cleansing the wound and the adjacent area properly
Thick scales developed and prevented healing
The defect was cleansed with a gauze pad soaked in cleansing solution
The adjacent skin in the diameter of up to 10 cm is infiltrated and slightly erythematous
There are visible crusts and scales that prevent healing
Scales are removed painlessly with a single use curette to uncover epithelised areas
The wound is cleansed with a disinfecting solution
The adjacent area is covered with a thin layer of indifferent zinc ointment
Tecasorb dressing is applied so as to cover all minor defects
Hydrophilic bandage is applied
Compression bandage is applied
Extensive defects on lower legs and also on lower abdomen, gluteal area, upper extremities, the head, and various types of pressure ulcers may be managed the same way. However, the consumption of Tecasorb and other materials is substantially higher.
In patients with CVI compression bandage should always be applied!!!