Introduction
The patient is an 86 year-old female with a history of venous insufficiency, with a venous leg ulcer below the left lateral malleolus. The ulcer has been present since 1999, and has never healed completely. After a sclerosing treatment, the ulcer developed a necrotic area, and the wound increased in size. The patient suffered from recurrent P. aeruginosum infections at the wound site, which were treated with antibiotics.
The wound was managed with a regimen of cleansing, debridement, and dressing changes twice
per week. IodosorbTM was used locally in the wound to ease debridement of the necrotic tissue. The wound bed was dressed with an antimicrobial silver dressing then covered by a superabsorbent cover dressing and a compression wrap.