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Venous ulcer on lower leg

Wound type:
Venous leg ulcer

History:
Hypertension, mitral valve insufficiency, hepatic encephalopathy, cirrhosis of the liver

Patient:
71-year-old male

2/3 of the ulcer achieved
100%
epithelialization in 42 days*
*Individual results will vary

Wound presentation

Treatment

Treatment

Weekly sharp debridement, followed by cleansing with lactated Ringer's solution and application of SANTYL Ointment. Between visits, wound was cleaned, and SANTYL Ointment and an antibiotic cream were applied daily.

Individual results will vary

  • Baseline
  • 8.9cm x 6.7cm; 0.3cm depth
  • Moderate erythema and no odor
  • 80% yellow fibrotic and 20% beefy red granular wound base
  • Beige slough covering the 20% beefy red granular wound base
  • +2 edema present to the lower extremity
  • Day 19 (pre-debridement)
  • 7.8cm x 4.6cm; 2cm depth
  • Mild erythema and no odor
  • 30% white fibrotic and 70% beefy red granular wound base
  • +2 edema present to the lower extremity
  • Day 19 (post-debridement)
  • Moderate erythema and no odor
  • 100% beefy red granular wound base
  • +2 edema present to the lower extremity
  • Day 26
  • Mild erythema and no odor
  • 100% beefy red granular wound base
  • Beige slough covering 60% of granular wound base
  • +2 edema present to the lower extremity
  • 100% epithelialization at the proximal 2/3 of the ulcer, resulting in two separate ulcerations
  • Day 42
  • Mild erythema and no odor
  • 100% beefy red granular wound base
  • +2 edema present to the lower extremity
  • 100% epithelialization at the proximal 2/3 of the ulcer, leaving one final portion of the ulcer
  • Treatment discontinuation information not available
Result
Result

Proximal 2/3 of the ulcer achieved 100% epithelialization in 42 days*

*Individual results will vary

Download patient case study: Venous ulcer on lower leg

What's next?

Bilateral lower extremity
venous stasis ulcers

Important Safety Information:Use of SANTYL Ointment should be terminated when debridement is complete and granulation tissue is well established.

One case of systemic hypersensitivity has been reported after 1 year of treatment with collagenase and cortisone. Occasional slight transient erythema has been noted in surrounding tissue when applied outside the wound.