Demonstration of the effectiveness of Eclypse dressing for leg ulceration

Cathie Bree-Aslan RGN DipN RSHom DipHerb - Tissue Viability Nurse

Mr MK is a 52 year gentleman classified as Bariatric who received surgery in the form of gastric banding earlier in the year. He lost a large amount of weight following this procedure. This gentleman also suffers from lymphoedema and a history of lower limb ulceration. He had previously been treated by the Wound Healing Centre and had healed, but unfortunately, due to poor concordance, his leg reulcerated, and he was referred back for a further course of treatment. He attends the clinic weekly for treatment for venous ulceration of the left mid gaiter region.

The wound had been dressed with mepilex and an absorbent foam pro temps, pending assessment by the Wound Healing Centre. On examination, the wound was malodourous with moderate levels of serous exudate. There was approximately 70% coverage of devitalised tissue covering the wound bed, and centrally, an island of epithelial tissue was present. There was some maceration to the wound edges. (fig: 5)

Fig. 5

The wound was dressed with Flamazine to reduce the bacterial colonisation and Actiform Cool to help alleviate discomfort and debride the wound bed. Over this was applied Eclypse, with 2 layer compression therapy in the form of Actico short stretch bandaging.

Mr MK retuned days later for re-assessment. The devtialised tissue was beginning to breakdown and lift and there was improvement to the maceration around the wound. (fig: 6)

Fig. 6