HydroTac®evaluation of a surgically debrided wound
Diane Knowles1, Lisa Wright1 & Elaine Ricci
Background: A 78 year old male patient with multiple co-morbidities including right below knee amputation, peripheral artery disease, left posterior tibial artery (PTA) and anterior tibial artery (ATA) angioplasty, neuropathy, asthma, liver cirrhosis and gout.
Wound History: This wound occurred as a result of surgical debridement to the left Achilles tendon following extensive abscess and infection. During his in-patient stay he had an angioplasty (PTA and ATA) and numerous dressings were used. After six weeks the patient was discharged from hospital to the specialist podiatry wound care clinic for wound management and access to the multidisciplinary team, if required. The wound (size 9.0 x 9.5 x 0.5 cm) presented with slough and granulation (50% each respectively) and bone was palpable in the wound base. Wound exudate was moderate with no signs of infection present. Peri-wound skin was dry. (Figure 1.).
Treatment with HydroTac: HydroTac® 15 x 15 cm was applied with Hypafix to secure a dressing pad as a secondary dressing and a trauma sandal. The first dressing change showed a wound bed improvement to 10% slough and 90% granulation tissue with a reduction in size (7.5 x 4.5 x 0.5 cm) (Figure 2). The second dressing change showed complete de-sloughing with the wound bed presenting with 100% granulation tissue (no change to wound dimensions) (Figure 3). At the third dressing change the wound bed still showed 100% granulation tissue and the wound dimensions had improved (7.5 x 4.3 x 0.2 cm) (Figure 4).
Conclusion: The use of HydroTac® in a surgical wound was found to be beneficial. It was found to significantly aid in de-sloughing this wound. This allowed healthy granulation tissue to form supporting healing. The patient did not report any adverse effects from the dressing and none were observed by the team. No discomfort during or between dressing changes was reported.