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A 62-year-old African American
female with HIV and a chief complaint of a venous
stasis ulceration was treated for approximately
6 years with compression dressings, various wound
dressings, and skin grafts
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Following vein ablation surgery,
the patient’s venous stasis ulcer was debrided
down to the superficial fascia level
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INTEGRA™ Bilayer Matrix Wound
Dressing is cut to shape and stapled to the wound
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Following application of the graft,
a silver impregnated dressing was used to cover
the wound
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At two weeks, the dermal tissue
is seen growing through
the pie crusted silicone layer
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At three week post-op
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After removal of the silicone,
a split-thickness skin graft was utilized to cover
the remodeled wound
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At approximately 6 months post-op,
the patient is fully recovered without ulceration
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Cases
Courtesy of:
Dave Granger D.P.M., Kevin Roberts D.P.M., Richard Jay
D.P.M., Mark Mantell M.D., Paul Glat, M.D.
The Graduate Hospital Wound Care Center, Philadelphia,
PA 19146
