2017Bali Medical JournalOpen access

A case report of diabetic foot ulcer underwent an autolytic debridement using hydrogel and hydrocellular foam combination

Hendry Irawan, Ketut Putu Yasa

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Abstract

Background: All diabetic patients have 15-20% risk of foot ulcer during a lifetime. Approximately 70% diabetic ulcers heal within five years. However, the healing is often slow, and the ulcer may become a chronic wound. Proper treatment can improve the healing process. It includes autolytic debridement. It is a process in which the body removes the necrotic tissue. Case: A female, 45-year-old complained wound on her right foot since 1.5 months ago. The wound did not heal and became larger with bad odor and pus. She had type 2 diabetes mellitus since five years ago with uncontrolled blood sugar. We performed surgical debridement to extend the wound and to drain the pus. We used a combination of hydrogel and hydrocellular foam to treat h wound. Conclusion: The overall performance of a combination of hydrogel and hydrocellular foam was shown to have clinical advantages such as autolytic debridement. We observed an increase of wound granulation and epithelialization and a decrease of slough and exudates.Â

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Background: All diabetic patients have 15-20% risk of foot ulcer during a lifetime. Approximately 70% diabetic ulcers heal within five years. However, the healing is often slow, and the ulcer may become a chronic wound. Proper treatment can improve the healing process. It includes autolytic debridement. It is a process in which the body removes the necrotic tissue. Case: A female, 45-year-old complained wound on her right foot since 1.5 months ago. The wound did not heal and became larger with bad odor and pus. She had type 2 diabetes mellitus since five years ago with uncontrolled blood sugar. We performed surgical debridement to extend the wound and to drain the pus. We used a combination of hydrogel and hydrocellular foam to treat h wound. Conclusion: The overall performance of a combination of hydrogel and hydrocellular foam was shown to have clinical advantages such as autolytic debridement. We observed an increase of wound granulation and epithelialization and a decrease of slough and exudates.Â

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Available abstract

Background: All diabetic patients have 15-20% risk of foot ulcer during a lifetime. Approximately 70% diabetic ulcers heal within five years. However, the healing is often slow, and the ulcer may become a chronic wound. Proper treatment can improve the healing process. It includes autolytic debridement. It is a process in which the body removes the necrotic tissue. Case: A female, 45-year-old complained wound on her right foot since 1.5 months ago. The wound did not heal and became larger with bad odor and pus. She had type 2 diabetes mellitus since five years ago with uncontrolled blood sugar. We performed surgical debridement to extend the wound and to drain the pus. We used a combination of hydrogel and hydrocellular foam to treat h wound. Conclusion: The overall performance of a combination of hydrogel and hydrocellular foam was shown to have clinical advantages such as autolytic debridement. We observed an increase of wound granulation and epithelialization and a decrease of slough and exudates.Â

Key concepts: Medicine, Debridement (dental), Granulation tissue, Surgery, Wound healing, Diabetic foot, Diabetes mellitus, Foot (prosody)

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