Case report by Sebastian Kruschwitz
The treatment of chronic and complex wounds can be challenging as it often requires a comprehensive, phased approach. Among other things, the treatment involves thorough cleaning of the wound or debridement, thus removing dead tissue, controlling infection and promoting healing. Various procedures can be used, including Microjet Wound Therapy (MWT). It has been observed that this form of therapy has a positive influence on all stages of wound treatment. It can be used to achieve optimum wound bed preparation so that wound healing is stimulated by microbleeding. As the following case study shows, quick and efficient healing can be achieved with the easy-to-use, low-pain MWT, even in complex wounds.
In the following case, the wound of an elderly patient was treated. Originally, the wound of an elderly patient was a basal cell carcinoma, which was removed in the dermatology department of a Berlin clinic:
- 81-year-old female patient
- weakened immune status
- Cachexia
- Fragile ageing skin, partly caused by long-term cortisone therapy
- Consuming underlying disease
- Cognitive impairment
- Completely immobile
- Urinary and fecal incontinence
However, the husband had his wife discharged prematurely against medical advice. In the hospital, the wound drainage was then removed after the second postoperative day, which was incomprehensible. A seroma formed below the primary suture, so that the wound had to be opened medially. Furthermore, due to the patient's advanced age and fragile skin, negative pressure wound therapy (NPWT) was adapted using the Kerlix AMD super sponge as a wound filler. Granulation tissue formed on the wound bed within a very short time after application of the MWT. This ultimately resulted in an improved healing process with a good outcome.
Conclusion:
In the following case, the effectiveness of the micro waterjet therapy (MWT) used here and its effect on wound healing can be seen very clearly. Especially in this elderly patient, the best results can be achieved with water jet therapy without causing unnecessary pain to the patient's already limited quality of life.
