Example of a use case for Advazorb Silfix in the treatment of a skin laceration to the leg

MI is an 81 year old lady. Past medical history-osteoporosis, arthritis, COPD and peripheral neuropathy affecting legs and feet.

This lady suffers from pitting oedema of lower legs and is advised to wear compression stockings and elevate legs. Diuretics discontinued during recent hospital admission and not restarted as may affect her renal function.

MI presented to the DN team with an extensive skin flap laceration (pre-tibial L leg) sustained on 29/04/12. The wound was initially steri-stripped and progressed to twice weekly dressing changes using mepitel, inadine, mepilex lite, padding and bandaging. As the wound continued to progress the secondary dressing choice was allevyn adhesive which was uncomfortable to be removed at dressing changes. Complications delayed the healing process, infection which was treated with antibiotics, analgesia was prescribed for pain and also oedema persisted.

Right leg developed a blister on 28/05/12 which became necrotic and progressed to ulceration on 07/06/12

16/7/12(first photos)-R leg sloughy, dressings changed to algivon and advazorb silflo. L leg activon and advasorb silflo applied as this ulcer was healing well.

18/07/12 MI definately found the silflo dressings much more comfortable and less traumatic at dressing changes. (but in their wisdom my colleagues changed the dressings back to allevyn adhesive whilst I was on annual leave!)

The R leg continued to deslough well with the algivon and dressing changes were increased to 3 times per week.

Dressings changed back to silflo on 13/08/12 which eased the pain at dressing change (her skin was very fragile and tender)

03/09/12 Left leg ulcer healed, Right leg had an area of overgranulation and a foam dressing was applied, this was healed completely on 09/10/12 and thereafter the patient was admitted to hospital with exacerbation of COPD which is why there was a delay in the final photos.

Final photos taken 13/12/12