J Wound Manag Res.  2019 Sep;15(2):125-129. 10.22467/jwmr.2019.00794.

Cleansing and Care of a Deep and Narrow Wound with Easily Accessible Medical Equipment

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. hyoseob.lim@gmail.com

Abstract

Of the many facets of managing wounds, mechanical dressing is one of the major concerns. A narrow and deep wound is particularly difficult to mechanically dress, because the small opening to the wound prevents effective gauze-wiping and irrigating with standard syringes. Here we present a case in which a 33-year-old patient with a narrow and deep perineal wound was provided mechanical cleansing with rectal tubes and Foley catheters. Irrigation with the tubes and catheters kept the deepest recesses of the wound clean for 6 months as the patient waited for his fractured pelvic bone to stabilize before he could undertake surgery to cover the wound. Underscoring the importance of effective cleansing in wound care, this case offers insights on new devices and methods.

Keyword

Perineum; Wound healing; Wound infection; Therapeutic irrigation

MeSH Terms

Adult
Bandages
Catheters
Humans
Pelvic Bones
Perineum
Syringes
Therapeutic Irrigation
Wound Healing
Wound Infection
Wounds and Injuries*
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