Venous Ulcer with Compression and Polyhexanide + Poloxamer

Objective

This case presents the use of modern wound dressings and compression therapy together with Polyhexanide + Poloxamer solution and hydrogel in venous ulcer care. The objective was to support wound bed preparation, biofilm management, moisture balance and compression-based venous ulcer management.

Case Summary

A 74-year-old male patient presented with a 3 × 2 cm venous ulcer located on the lateral side of the left tibial region after trauma. The wound bed was covered with a biofilm layer and required debridement and cleansing before dressing application.

After the wound bed was prepared, the wound was irrigated with Polyhexanide + Poloxamer solution. A hydrogel containing Polyhexanide + Poloxamer was then applied and the wound was covered with paraffin gauze. Since the patient’s ankle-brachial index was normal, four-layer compression bandage therapy was applied.

Wound Care Method

• The wound was evaluated as a venous ulcer after trauma.
• The biofilm-covered wound bed was debrided.
• The wound surface was cleaned after debridement.
• The wound was irrigated with Polyhexanide + Poloxamer solution.
• Polyhexanide + Poloxamer hydrogel was applied to the wound bed.
• Paraffin gauze was used to cover the wound.
• ABI was assessed and reported as normal.
• Four-layer compression bandage was applied.
• Dressing changes were performed every 3 days.
• A total of four dressing sessions were documented.

Clinical Follow-up

During follow-up, dressing changes were performed in 3-day intervals. The combination of wound bed preparation, Polyhexanide + Poloxamer-based dressing support and four-layer compression was used as part of the venous ulcer care pathway.

Outcome

According to the original case documentation, wound size reduction, healthy granulation tissue and partial epithelialization were observed. The patient was discharged with recommendations after the documented treatment sessions.