Clinical Case Study Demonstrating use of Glycerine Hydrogel Sheet on Denuded Peri Wound Skin to Create an Effective Pressure Therapy Seal

Clinical Case Study Demonstrating use of  Glycerine  Hydrogel Sheet on Denuded Peri Wound Skin to Create an Effective Negative Pressure Therapy Seal.
Objective:  1) After viewing this poster presentation, the participant will be able to formulate an effective treatment plan utilizing Glycerine Hydrogel Sheet to create a seal with negative pressure therapy for wounds with surrounding denuded peri wound skin.  2) The participant will describe the benefits of the glycerine hydrogel for it's absorptive and bacteriocidal properties.

Problem:  A frail 83 year old insulin dependent diabetic presented for admission with a L 20.2 x W 27.5cm traumatic injury of lower anterior leg.  Surgical consult revealed hematoma with compartment syndrome.  Incision and drainage of a large seroma with debridement of necrotic tissue was accomplished in the operating room.  The seroma was overlying two large hematomas that were opened and drained.  When assessed by the would care specialist, two full thickness wounds #1 L 11.1 x W 1.9 depth 2.4 cm with extensive undermining and #2 L 4.8 x w 1.8 depth 1.8cm with no undermining were revealed.  The peri wound skin was extremely denuded virtually encircling the entire leg.  Extensive edema with copious drainage prevented effective application and creation of a seal of the ordered negative pressure therapy.

Rational:  Glycerine hydrogel sheet was selected in conjunction with negative pressure therapy for  it’s ability to create a seal while absorbing excess fluid, enhancing granulation and creating a bacteriostatic environment.

Methodology:  With each treatment the wound was cleansed and Glycerine Hydrogel Sheets cut to cover denuded peri wound skin.  Negative pressure therapy applied.  Treatment plan continued until healing of the denuded area occurred in twenty-two days.

Results:  Comfortable rapid healing of denuded tissue, absorption of fluid, infection free with effective application of negative pressure therapy creating a secure seal.

Conclusion:  The glycerine hydrogel sheet provided ease of application and was effective in securing a seal with no leakage of negative pressure therapy of a massive traumatic wound.  The hydrogel sheet provided comfortable healing and absorption of copious fluid from the denuded area while providing a bacteriostatic environment.