Bilateral lower leg ulceration treated with Eclypse Non-Adherent dressing

Cathie Bree-Aslan RGN DipN RSHom DipHerb - Tissue Viability Nurse

Mrs EB is an 102 year old lady who has had bilateral lower leg ulceration which are arterial in nature, for 10 years. The wounds have been managed in the community but continue to exude heavily and are very painful. They have required daily dressings up until now.

Despite her great age, Mrs EB is generally well and mobilises independently around her home, and attends Mass at the local church each week. There is no significant medical history.

Fig. 3

The Eclypse dressing was applied as a secondary dressing to the Right leg ulceration (fig.3) as this was the one which was exuding the most. The wound bed had areas of granulation with some dark devitalised tissue at the lower aspect. The surrounding tissues, especially proximally, were very macerated despite using a border of Aquacel at previous dressing applications. The wound appeared to have a degree of bacterial colonisation.

The primary dressing was Oxyzyme (a 2 part gel sheet & Oxygen infusing dressing system) and the leg bandaged with Setocrepe in figure of 8. The patient was re-assessed 2 days later and already some of the macerated tissues at the proximal aspect of the woud had improved with the exudates management properties of the Eclypse (fig: 4)

 Fig. 4