2011 - A Better Way To Treat A Diabetic(Pressure) Ulcer

 

 

   

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Welcome,

 

You have arrived at a website which will show you a better way to treat a Ulcer caused by diabetic complications or pressure points.

 

This website does not pertain to be medical advice or to be of medical value in the sense of a double blinded medical trial where one treatment proves to be better then others.

 

Here you will find the results of a completed private medical trial for the treatment of diabetic / pressure ulcers by using a product developed for post operative wounds.

 

Before you read on I'd like to point out a few things:

1. The product is designed for the treatment of post operative wounds.

2. The medical world is refusing to recognize this product and even refusing to review my research, related to treating ulcers.

3. Some pictures are of a graphic nature and should not be viewed if you can't stand the look of open wounds.

4. The person in question has given her unreserved and full permission to pursue alternative treatment.

5. The product chosen for this treatment has been selected by using commercial contextual analyses software, specifically re-developed for medical purposes.

6. All personal information has been removed, surely if you are interested to find out who to contact you will find a way. For now I am only interested in spreading the word about a product that in this case has saved a limb.

 

My main purpose is to inform other people suffering from (diabetic / pressure) ulcers or other wounds that are failing to heal and to medically educate to prevent amputation. Even if you have to pay for it yourself, the benefits will surely outweigh the costs.

 

What you will find here is a report over a 8 months period on how a post operative treatment product works on a diabetic ulcer and eventually healing it.

 

 

This is a report of the treatment of a diabetic Ulcer with Cutimed® Sorbact®.

 

                                                         

 

 

The treatment consists out of the following components:

1.   Antibiotics tested for the relevant bacteria

2.   X-Ray to determine if the infection has gone outside the affected area

3.   SorbAct gauze compress, SorbAct Gel gauze compress, Fixomull stretch

 

Pre-trial all standard treatments have been tried, ea:

EUSOL(+zinkoxide), Alginate, Aquacel, Silvernitraat without any positive result.

 

This report has been made and is released with a very important footnote to the reader, “If your specialist is not willing to open their eyes, then open your own”

 

 

 

Treatment started with Sorbact after all standard treatments have failed. This first picture is the situation the foot Ulcer was at this date (ddmmyyyy).

 

 

10-7-2011

 

 

 

 

29-7-2011

 

3 weeks later, environment Ulcer clean and free of infection, Ulcer has reduced in size

 

18-8-2011

 

6 weeks later, Ulcer area only effected, a lot of slough which is getting removed on a regular base.

2-9-2011

 

8 weeks later, a second Ulcer was found and merged with the main Ulcer.

 

23-9-2011

 

11 weeks later, total reduction in combined size.

 

 

 

15-10-2011

 

14 weeks later, serious results in a 3 week period.

 

13-11-2011

 

18 weeks later, we’re at closing fase 1/3

 

22-1-2012

 

28 weeks later, we’re at closing fase 3/3 for the left Ulcer and 2/3 for the right Ulcer.

9-3-2012

 

33 weeks later, full closure !

 

 

 

This will be the final picture in these series and treatment over 8 months.

 

The vertical line on this view is an impression left from a sock. The tissue area looks a little bit raw but will even out over time as rehabilitation has been restarted, a lot of walking will do the same when it comes to the rawness of a diabetic skin.

 

 

 

 

There is a document (PDF) which contains all the progress pictures (more then 50) in high quality, if enough interest is shown in this website I will release the link to this pdf. After more then 20.000 hits I am releasing this PDF: 2011-1_diabetic_ulcer_on_foot_EN.pdf

 

 

General reference / observation:

1)    Walking on foot recommended to aid perfusion but not to exaggerate.

2)    Do not flush the wound, rinse with bandage, after drying replace bandage, let the area dry if needed for about 30 minutes (it is normal the Ulcer gets enlarged by rinsing).

3)    Rinsing a Ulcer irritates the area and slows healing, leave dry and terminating skin and use it to allow the forming of new skin underneath, when the old skin is dry a new layer sits underneath and the dry skin can be gently torn of. If the top layer gets too thick surgically remove excess.

4)    When changing bandage press the skin around the Ulcer to determine if the outer skin is attached and to press out/remove pus. When the outer skin is not attached consider removing it.

5)    Use SorbAct on the Ulcer and a 20milimeter area around it, do not cut sorbact in a circle.

6)    Continue antibiotics until the Ulcer is gone, the wound itself does not need to be fully closed, any infection is caused by the Ulcer.

7)    When a crust has formed try to move the crust slightly, if the crust moves independently then you need to remove it, something is happening underneath it. If the crust feels like it is attached leave it as it is unless the skin around it shows signs of irritation (red).

8)    Only use Fixomull stretch from BSN medical and no other product, this is the only product that does not damage a diabetic skin.

9)    SorbAct has a number of combined properties that can not be seen elsewhere  in a single product / treatment.

a.    Kills all bacteria (EUSol)

b.    Pulls pus and infected material from the wound / Ulcer (Alginate)

c.    Aids in forming new skin (Aquacel)

d.    Regulates the moisture balance (there is discussion about this property, it is looking more like interaction between the glue of fixomull stretch and sorbact)

e.    When the skin is really dry use SorbAct Gel

10) When the Ulcer is getting smaller then the current sorbact compress you can keep the other halve of the compress for a maximum of 24 hours.

11) Twice a week keep the Ulcer open to let it dry out for about 1 hour with only a simple compress on it.

12) Replacing sorbact can be done every other day if the bandage does not get wet, during a 2 months period it shows that changing sorbact every day results in a better healing process.

13) SorbAct has a positive effect on wound-slough and reduces the need for surgical removal.

14) 12-9-2011: X-Ray confirmation infection is local and not penetrated.

15) Bandage method: SorbAct(4 layers=default packaging) with Fixomull stretch(1 layer) (nothing else) as top layer to keep Sorbact in place.

16) Nb. 2-2-2012: During closing fazes do not stop the sorbact treatment until the skin is fully equal to the surrounding area and no visible discolorment.

17) The amount of sorbact layers can be reduced during closing fazes, the working area may need to be equaled out with (additional) small sorbact patches to get maximum contact where it is needed. The smaller the ulcerated area the more difficult it is to get sorbact contact, it is imperative contact takes place for sorbact to do it’s thing.

18) During closing fazes sorbact may be left for a maximum of 4 days, unless it gets wet or the sorbact patch looks exhausted.