Treatment in an outpatient setting for a patient with an infected, surgical wound with hypergranulation tissue

Nicole M. Stevens, Terry Shultz, Ryan L. Mizner, Meryl Gersh

Research output: Contribution to journalArticlepeer-review

Abstract

The purpose of this article is to describe a multifaceted approach to wound care in an outpatient setting for a patient with an infected, nonhealing surgical wound with hypergranulation tissue following fasciotomy for acute compartment syndrome. A 44-year-old male underwent an anterior and lateral lower extremity compartment fasciotomy and developed a persistent right anterolateral lower leg wound. Thirty-six days after fasciotomy he came to the authors' clinic after 2 failed skin grafts with an infected wound covered in hypergranulation tissue. Treatment included sharp debridement, saline irrigation, patient education, and dressing changes during 9 treatment sessions. The patient's total wound surface area decreased from 5.2 cm × 17.3 cm to 4 cm × 15 cm with increased epithelialization from approximately 40% to 85% after 29 days of treatment. This article demonstrates the positive effect of a multifaceted approach for facilitation of wound healing in a lower extremity wound following fasciotomy.

Original languageEnglish
Pages (from-to)37-44
Number of pages8
JournalInternational Journal of Lower Extremity Wounds
Volume8
Issue number1
DOIs
StatePublished - Mar 2009

Keywords

  • Granulation tissue
  • Infection
  • Silver application
  • Wound healing

Fingerprint

Dive into the research topics of 'Treatment in an outpatient setting for a patient with an infected, surgical wound with hypergranulation tissue'. Together they form a unique fingerprint.

Cite this