Dehisced Surgical Incision – 30-day Treatment
- 54-year-old female.
- Patient underwent plastic surgery for medial lifting of the thighs.
- Surgical dehiscence following a fall. The wound was located in the inguinal fold. The patient was mobile and moving normally subjecting the injured tissues to continuous tension and movement.
- The wound measured 4x22cm (Figure 1) with necrotic tissue present.
- After debridement there was presence of necrotic tissue and fibrin (figure 2) with abundant exudate and presence of infection.
- Undermined margins with detachment of the tissue as a consequence of the trauma.
Management & Results
- Avelle™ NPWT System initially applied with 12x31cm dressing and changed twice a week for a total of 11 dressing changes.
- The anatomical site was difficult to manage due to the positioning of the dressing complicated by the presence of folds in the peri-wound skin and hair that created difficult conditions to maintain the vacuum.
- Despite the stress to which the dressing was subjected and thanks to the hydrophilic interface, Avelle™ managed the exudate well, being able to remain on the wound for a long time even without negative pressure; other portable disposable devices with negative pressure would have struggled to prevent perilesional maceration. A further complication due to the patient's movements which, leading a normal life, generated strong tensions on maintaining the vacuum.
Figure 3: Beginning of therapy with the Avelle™ NPWT System
Figure 4: Dressing change after 2 days
Figure 5 - Day 18
Figure 6 - End of treatment with Avelle™ NPWT System