![[ Visit WOCN Website ]](images/banner09.jpg)
Case 1
42 year old female, history of hypotension and cardiac arrhythmia presented with a three weeks old dehisced laceration to the left medial leg with a dry 95% necrotic wound bed. Prior treatments included wet to dry normal saline gauze. Silver collagen gel was applied and covered with adhesive foam and changed every three days. Due to development of a periwound rash, the cover was changed to dry gauze and frequency changed to every other day. After four weeks 50% healing, resolution within six weeks.
Case 2
87 year old male, history of prostate cancer, hypertension, squamous cell carcinoma of the ear and scalp presented two months post surgical excision of the scalp site with a 100% dry necrotic wound bed. Prior treatments included a topical emulsion gel and antibiotic ointment. Silver collagen gel was applied and covered with adhesive foam and changed every three days. After one week 75% red granular wound bed, resolution within four weeks.
Case 3
76 year old female, history of anxiety, COPD, venous insufficiency, basal cell carcinoma of the scalp presented one week post surgical excision of scalp with a wound bed of 50% dry necrotic, 10% dry red granulation, 40% bone. Prior treatments included topical emulsion gel. Silver collagen gel was applied and covered with a non-stick pad and changed daily. Cover was changed to foam after two weeks and changed every three days. At seven weeks 50% healing. At twelve weeks 95% healing, wound was accidentally reopened by adhesive. This wound continues to be followed.
Conclusion: Silver collagen nanocrystallin/ionic gel is an excellent choice for post-incisional and dehisced lesion healing.