Cavity Wound with NPWT and Polyhexanide + Poloxamer

Objective

This case presents a deep cavity wound management pathway using Polyhexanide + Poloxamer solution and gel together with Negative Pressure Wound Therapy. The objective was to support wound bed preparation, local infection-risk management, granulation tissue development and eventual wound closure.

Case Summary

The documented case involved a 63-year-old male patient with a deep cavity wound following a period of intensive care and limited mobility. The wound presented with challenging local wound conditions, including exudate, malodor and necrotic tissue burden.

Because cavity wounds can hide deeper tissue burden and may be difficult to manage with superficial dressing alone, a structured approach was used. This included debridement, wound culture follow-up, cleansing with Polyhexanide + Poloxamer solution, gel-based wound care support and NPWT.

Wound Care Method

• The cavity wound was clinically assessed before treatment planning.
• Necrotic and non-viable tissue burden was addressed with debridement.
• Wound culture was obtained to support infection-risk evaluation.
• The wound cavity was cleansed or irrigated with Actolind® w Solution.
• Actolind® w Gel was applied to support moist wound bed preparation.
• NPWT was applied to support exudate control, wound contraction and granulation.
• Wound progress and culture status were followed during the treatment period.
• After improved wound bed condition, closure and suturing were performed.

Clinical Follow-up

During follow-up, wound bed quality, exudate level, odor, tissue condition, granulation and cavity contraction were monitored. NPWT was continued as part of the wound care plan until the cavity became suitable for surgical closure.

Outcome

According to the documented case pathway, culture negativity and improved wound bed condition were achieved during follow-up. After wound bed preparation, the cavity wound was closed and sutured.