Diabetic Incisional Wound After Surgery
A documented postoperative diabetic incisional wound case involving debridement, Polyhexanide + Poloxamer solution, NPWT, resveratrol-containing dressing support and Polyhexanide + Poloxamer gel-based follow-up care.
Essential Case Information
This overview summarizes the case in a structured format: who, what, where, when, why and how the postoperative diabetic incisional wound care pathway was managed.
The Patient
A 77-year-old female patient who developed lower extremity incisional wounds after bypass surgery.
The Clinical Problem
Postoperative incisional wounds on both legs, including a 14 × 2 cm wound on the left leg and a 5 × 4 cm stage 2 necrotic wound on the right leg.
The Setting
The case was documented by the Plastic, Reconstructive and Aesthetic Surgery Department, Wound Healing Unit, Kahramanmaraş Sütçü İmam University Faculty of Medicine.
The Timeline
The patient presented two months after bypass surgery. Dressings were renewed in 3-day intervals, and epithelialization was observed by day 12.
The Objective
The objective was to manage postoperative diabetic incisional wounds using debridement, infection assessment, Polyhexanide + Poloxamer cleansing, NPWT and dressing support.
The Care Pathway
Debridement and tissue culture were performed, wounds were cleansed with Actolind® Solution Plus, NPWT was applied to one wound and resveratrol dressing support to the other.
Objective
This case presents a postoperative diabetic incisional wound management pathway using debridement, Polyhexanide + Poloxamer wound cleansing, NPWT and resveratrol-containing dressing support. The objective was to support wound bed preparation, infection-risk control and epithelialization during follow-up.
Case Summary
A 77-year-old female patient presented with wounds on lower extremity incision lines two months after bypass surgery. A 14 × 2 cm wound was documented on the left leg, and a 5 × 4 cm stage 2 necrotic wound was documented on the right leg.
Debridement was performed and deep tissue culture was obtained. The culture result showed no growth. The wounds were cleansed with Polyhexanide + Poloxamer solution and the solution was left in contact with the wound area for 5 minutes.
Wound Care Method
- Clinical wound assessment was performed.
- Debridement was carried out.
- Deep tissue culture was taken.
- No growth was reported in the culture result.
- Wounds were cleansed with Actolind® Solution Plus.
- The solution was left on the wound area for 5 minutes.
- NPWT was applied to the left leg wound.
- The right leg wound was dried and covered with a resveratrol-containing dressing.
- Dressings were renewed in 3-day intervals.
- After epithelialization, Actolind® Gel Plus dressing recommendations were provided.
Clinical Follow-up
The wound care plan was continued with scheduled 3-day dressing intervals. NPWT was used on the left leg wound, while resveratrol-containing dressing support was used on the right leg wound. The wounds were monitored for epithelialization during follow-up.
Outcome
According to the original case documentation, epithelialization of the wounds was observed by the 12th day. The patient was discharged with recommendations for Polyhexanide + Poloxamer gel-based dressing care.
Diabetic Incisional Wound Image Areas
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Documented Follow-up Steps
The timeline below summarizes the reported wound care process and key clinical milestones.
Post-bypass Presentation
The patient presented with lower extremity incisional wounds two months after bypass surgery.
Debridement and Culture
Debridement was performed and deep tissue culture was taken. No growth was reported.
Solution Contact Time
Wounds were cleansed with Actolind® Solution Plus and left in contact with the solution for 5 minutes.
NPWT Application
NPWT was applied to the left leg wound as part of the wound care plan.
Resveratrol Dressing Support
The right leg wound was dried and covered with a resveratrol-containing dressing.
Dressing Renewal
Dressings were renewed in 3-day intervals during the documented care period.
Epithelialization Observed
By the 12th day, epithelialization of the wounds was reported.
Outcome Highlights
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