CONSERVATIVE TREATMENT OF A CHRONIC WOUND WITH HYDROFIBER DRESSINGS: A CASE REPORT

Abstract

Chronic postoperative wounds represent a serious challenge, both for the medical personnel treating the wound and for the patient. Their size, anatomical localization, and the presence of infection further complicate the healing process. In this case report, we present a 52-year-old patient, without diabetes or vascular diseases, who was operated on due to the presence of an extrasphincteric fistula and a system of perianal fistulas. Due to the presence of the fistulous system, a fistulectomy was performed, along with skin incisions in the gluteal and inguinal regions, as well as the perineum. Postoperatively, an extensive wound (15 × 15 cm) was obtained. In the postoperative period, infection with Enterococcus spp. was noted. Treatment included antibiotic therapy, repeated sharp debridement, mechanical debridement, wound irrigation, and the application of hydrofiber dressings with silver ions (Aquacel® Ag). Six months after the surgical procedure, complete wound resolution and coverage with granulation tissue were achieved, without the need for reoperation. This case report confirms the possibility of treating extensive wounds in a conservative manner, without additional surgical interventions and hospitalization. It also underscores the role of modern hydrofiber dressings in the treatment of chronic postoperative wounds.