Healing of a Category IV Sacral Pressure Ulcer by a Special Wound Care Cream: A Case Report

Bayrak Z, Ince M, Cirak E, Yilmaz MI, Tanyuksel M, Yaman H

Research Center, Phytocenter, Ankara, Turkey Division of General Surgery, Ozel 100. Yil Hospital, Ankara, Turkey Division of Nephrology, Center for Epigenetic Health Solutions, Ankara, Turkey Division of Wound Care, ZGHolistic Clinic, Ankara, Turkey

^*Correspondance to: Halil Yaman 

 PDF  Full Text DOI: 10.25107/2474-1647.3659

Abstract

Background: Pressure Ulcers (PUs) are injuries to the skin and underlying tissues that occur most commonly over bony prominences, such as the hips and heels because of pressure and shear forces. PUs cause pain, discomfort, longer hospital stays and decreased quality of life. They are also very costly to treat and consume substantial parts of healthcare budgets. Wound healing is a complex process characterized by inflammation, proliferation, repair, and remodeling stages. A Special Wound Care Cream (SWCC) improves wound healing. Aim: We observed the use of SWCC to determine its effectiveness in the management of chronic wound healing following surgical debridement. In this report, the use of SWCC application with debridement in a Category IV Sacral Pressure Ulcer is detailed. Method: A 74-year-old male presented with a category IV pressure ulcer in the sacral region after 17 days of lying in the intensive care unit due to COVID-19 and treated with standard wound care. He is suffering from type II diabetes mellitus. First, a major surgical debridement was performed to treat a pressure ulcer in the sacral region. All the necrotic tissues were removed. Afterwards, daily localized small surgical debridement was performed, and the wound bed was cleaned by irrigation of the wound surface with gauze and saline. Then SWCC was applied to the wound area and covered with gauze. Results: SWCC treatment after the major surgical debridement has produced the most dramatic changes in all dimensions since the opening 24 weeks of therapy. Twenty-four weeks after the first cream application, the wound was filled with new tissue and completely closed. The wound was completely recovered with new epithelial formation. Conclusion: The cream stimulates wound healing, increasing re-epithelialization, contraction, synthesis of collagen and angiogenesis. The cream provides the necessary chemical signals to support tissue regeneration. Implication for clinical practice: The Special Wound Care Cream should be considered for wound healing and to reduce the negative impact on a patient’s life after surgical debridement in burns of varying degrees and many chronic non-healing wounds.

Keywords

Granulation tissue; Re-epithelization; Pressure ulcers; Special wound care cream; Wound healing

Cite the article

Bayrak Z, Ince M, Cirak E, Yilmaz MI, Tanyuksel M, Yaman H. Healing of a Category IV Sacral Pressure Ulcer by a Special Wound Care Cream: A Case Report. Clin Surg. 2023; 8: 3659..