Application in a Pressure Injury

Endoform™ Antimicrobial

Bronwyn Morgan, NZRN, PGDip

Northland District Health Board, New Zealand
Initial Presentation
Week 12

Results

  • Wound age >3 years
  • One small area left to close after 12 weeks of treatment, otherwise completely re-epithelialized

Patient details

55-year-old male

Medical history

  • Spina bifida with limited sensation to lower limb but no movement from T10
  • Stoma formation
  • Ileal conduit
  • Inpatient for 13-months. Current inpatient stay 6-months. 5 x surgical debridement, 2 x failed flap repair. 18-months community care
  • Previous Treatments: Failed surgical reconstructions, multiple debridements

Case details

  • Wound: currently tunnels to >2 cm
  • Wound age: 3 years
  • Treatment: Endoform Antimicrobial

Application photos

Day 0

  • Wound size: 7.0 x 2.0 x >2.0 cm

Week 1

  • Continue with Endoform Antimicrobial, twice weekly
  • Granulation tissue building in the base

Week 2

  • Continue with Endoform Antimicrobial, twice weekly
  • Granulation tissue building in the base
  • Residual Endoform evident in the wound base

Week 3

  • Continue with Endoform Antimicrobial, twice weekly
  • Granulation tissue building in the base
  • Residual Endoform evident in the wound base

Week 5

  • Continue with Endoform Antimicrobial, twice weekly
  • Granulation tissue building in the base
  • Residual Endoform evident in the wound base

Week 6

  • Continue with Endoform Antimicrobial, twice weekly
  • Granulation tissue building in the base
  • Residual Endoform evident in the wound base

Week 8

  • Continue with Endoform Antimicrobial, twice weekly
  • Wound split during hoist transfer
  • Epithelial advancement at wound margins

Week 12

  • One small area left to close – otherwise fully healed

Results may vary. Bronwyn Morgan has a consultancy agreement with Aroa Biosurgery.

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  1. Lawlor et al (2024). Plastic and Reconstructive Surgery – Global Open 12(12): e6406
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  12. Negron et al (2014). Int Wound J 11(4): 392-397
  13. Data on file
  14. Overbeck et al (2020). Hernia. 24(6):1293-1306
  15. Irvine et al (2011). Biomaterials. 32(27):6351-6361

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