ULCER: MEPILEX ®, THE IDEAL TREATMENT! J.P. BAZANAN, IDE Libéral, 34200 Sète Venous ulcer of traumatic origin before treatment Healing attained 60 days.

ULCER: MEPILEXULCER: MEPILEX®®, , THE IDEAL TREATMENT!THE IDEAL TREATMENT!

J.P. BAZANAN, IDE Libéral, 34200 SèteJ.P. BAZANAN, IDE Libéral, 34200 Sète

Venous ulcer of traumatic origin before treatment

Healing attained 60 days after start of wound treatment

An 86-year-old patient presents with a venous ulcer of traumatic origin on the basis of peripheral vascular insufficiency. The patient also suffers from respiratory insufficiency and chronic bronchitis.

There has not been any previous wound treatment or self-medication. Mepilex® 1 is therefore the first treatment used to care for the wound, and is applied two days after the wound has appeared.

The aim of the treatment is to attain complete healing with a single typeof dressing: Mepilex®.

Materials and Method:• Cleaning of the wound with saline • If necessary: - Removal of fibrin using Normlgel® 1, an isotonic saline gel for dry

wounds in the cleansing or granulation phase.

- Mechanical debridement.

• Application of Mepilex® 1, a silicone-coated hydrocellular dressing,indicated for exudative wounds, particularly chronic wounds.

The dressings are replaced every two days.

• Wearing of compression stocking

Mepilex® is an attractive product to use, which allows good management of exudates while preserving the necessary moisture in the wound. It represents a good compromise between adherence and ease of removal. It’s use allows healing to be taken to the stage of epidermisation without the need to use secondary hydrocolloids.

How the lesions progress :

At Day 0 : - Wound 30% fibrinous – 70% granular - Moderate quantity of exudates clear in colour - No odour - Peri-wound skin dehydrated - Slight pain in the wound (VAS 2).

At Day 5 : - Moderate quantity of clear colured exudates - Wound still slightly painful (VAS 2).

Application of Normlgel ® for removal of fibrin.

At Day 15 :- Moderate quantity of serous exudate - Tissues in granulation phase - Decrease of pain in the wound (VAS 1).

Mepilex® in place on the wound : Wound at Day 15 after good management of exudates removal of dressing

Mechanical debridement performed during the visit: easy elimination of fibrin due to the action of the

hydrogel applied previously

At Day 30 : - Rapid progression of healing following mechanical debridement performed two weeks previously (granulation tissue 95%) - Small quantity of exudates - No pain in the wound / no pain on removal of the dressing (VAS 0).At Day 60 : - Completely healed wound in the process of

remodelling.

Wound 30 days after start of treatment with Mepilex®

Wound 40 days after start of treatment with Mepilex®

Results :

After the first debridement the fibrinous non-viable tissue did not return.The wound did not cause any odour.

Visible daily reduction in the size of the wound and good control of exudates are observed.

No pain on dressing removal is reported, even in the presence of a sensitive peri-wound region. Patients felt reassured by the sense of mechanical protection of the dressing region and by its "foamy" texture and thickness.

For the general practitioner, Mepilex® is easy to use, due to the ease of removal.

1 : Mölnlycke Health Care