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DOI: 10.12687/phleb2387-6-2017
Lokale Wundtherapie eines chronischen therapierefraktären Ulcus cruris venosum mit Omega3-Wundmatrix
Ein unkonventionelles Verfahren zur Therapie chronischer WundenLocal wound therapy of a chronic resistant venous ulcer with Omega3 wound matrixAn unconventional procedure for the therapy of chronic woundsPublication History
Eingereicht:
14 July 2017
Angenommen:
28 July 2017
Publication Date:
10 January 2018 (online)
Zusammenfassung
Moderne Zusatzbehandlungen zur herkömmlichen Wundtherapie werden häufig notwendig, da ein großer Anteil chronischer Wunden unter der Standardbehandlung nicht vollständig abheilen bzw. auch häufig rezidivieren. Die Omega3-Wundmatrix (Kerecis®) stellt eine alternative Wundauflage dar, die aus der Haut des Kabeljaus durch entsprechende Verfahren wie z.B. die Dezellularisierung gewonnen wird.
Wir berichten über eine 86-jährige Patientin, die über schmerzhafte, chronische und rezidivierende Ulzeration im Bereich des rechten Unterschenkels klagte. Vorausgegangen war eine operative Behandlung der venösen Insuffizienz mit Debridement, Vakuumtherapie und Spalthauttransplantation, wonach es im Verlauf zur deutlichen Vergrößerung und Schmerzhaftigkeit der Wunde kam. Nach anschließender lokaler Wundtherapie mit Omega3- Wundmatrix (Kerecis®) kam es zu einer rasch progredienten Wundheilung mit vollständiger Abheilung der Ulzerationen innerhalb von 14 Wochen.
Summary
Modern supplementary treatments are often necessary since a large proportion of chronic wounds do not heal completely or recur rapidly after standard treatment. The Kerecis® Omega3 wound matrix is a decellularised skin matrix derived from codfish and represents an alternative treatment option to achieve wound healing.
We report a case of a 86-year-old female who complained about painful, chronic and recurrent ulceration in the right lower limb. An operative treatment of venous insufficiency with debridement and local wound treatment with negative pressure wound therapy and mesh graft transplantation were carried out. Thereafter, there was a widening of the wound with pronounced painfulness. Subsequent local wound healing with Omega3 wound matrix (Kerecis®) resulted in a rapid progressive wound healing with complete healing of the ulcerations within 14 weeks.
English version available at: www.phlebologieonline.de
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