CASE REPORT

A case report of diabetic foot ulcer underwent an autolytic debridement using hydrogel and hydrocellular foam combination

Hendry Irawan , Ketut Putu Yasa

Hendry Irawan
Department of Surgery, Udayana University School of Medicine / Sanglah General Hospital Denpasar Bali. Email: hendry_irawan@rocketmail.com

Ketut Putu Yasa
Department of Surgery, Udayana University School of Medicine/Sanglah General Hospital Denpasar Bali
Online First: August 04, 2017 | Cite this Article
Irawan, H., Yasa, K. 2017. A case report of diabetic foot ulcer underwent an autolytic debridement using hydrogel and hydrocellular foam combination. Bali Medical Journal 6(3): S93-S96. DOI:10.15562/bmj.v6i3.411


Background: All diabetic patients have 15-20% risk of foot ulcer during a lifetime. Approximately 70% diabetic ulcers heal within five years. However, the healing is often slow, and the ulcer may become a chronic wound. Proper treatment can improve the healing process. It includes autolytic debridement. It is a process in which the body removes the necrotic tissue. Case: A female, 45-year-old complained wound on her right foot since 1.5 months ago. The wound did not heal and became larger with bad odor and pus. She had type 2 diabetes mellitus since five years ago with uncontrolled blood sugar. We performed surgical debridement to extend the wound and to drain the pus. We used a combination of hydrogel and hydrocellular foam to treat h wound. Conclusion: The overall performance of a combination of hydrogel and hydrocellular foam was shown to have clinical advantages such as autolytic debridement. We observed an increase of wound granulation and epithelialization and a decrease of slough and exudates. 

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