After one week of dressing removal, a viscous exudate appeared under Aquacel® Ag + extraTM, which remained between the wound bed and the hydrofibre due to its consistency and could only be absorbed to a limited extent by the hydrofibre. The exudate build-up inhibited the growth of granulation tissue. Similarly, the exudate from the fistula was only partially drained, and a behavior was observed. A conversion to LIGASANO® white, sterile 15 x 10 x 1 cm took place. The fistula was loosely tamponed dry with a LIGASANO® Mini Wound Band 100 x 1,5 x 0,4 cm.
The fistula was closed with the LIGASANO® wound strip mini 100 x 1.5 x 0.4 cm and the amount of exudate was significantly reduced by continuous local therapy. In the area of the wound bed, a well supplied granular granulation tissue was found. No wound odour can be detected. A reduction of hyperkeratosis and maceration was clearly present under the treatment described above.
Summary / Conclusion:
Due to the structure of the LIGASANO® PUR foam dressing, targeted exudate management or controlled absorbency vertical discharge could be achieved. The fibrin coating was significantly reduced by the mechanical stimulus of LIGASANO® white and the granulation tissue was promoted, as was a reduction in hyperkeratosis.