November 2020

Gellable Fiber Dressing in Chronic Venous Leg Ulcers

This investigational product case series looked the use of gellable fiber dressing technology in the setting of heavily exudating venous leg wounds in a series of 5 patients. Exudate management is key to healing this type of ulcer.

The author noted that proprietary design of the gellable dressing offered a balance between adsorptive capacity and structural integrity. In particular, the design pulls exudate away from the wound by absorbing throughout the entire dressing to preserve optimal moisture while protecting healthy skin. The poster presentation presented findings from 2 of the cases.

Case 1: 57-year-old male with a 5-month history of VLU on the left posterior calf. Alginate had failed due to adherence to wound tissues. After clinical evaluation, the gellable fiber dressing was applied with 2-layer compression as secondary dressing. Both were changed weekly. The wound measurement dropped from 4.0cm x 2.5cm x 0.1cm at baseline with a VAS of 7 to 1.3cm x 0.9cm x 0.1cm at visit 4 with a VAS of 3, to complete resolution at visit 8 (7 weeks total).

Case 2: 76-year-old female with >12-month history of VLU on the medial left ankle. Previous therapies included alginate, collagen, foam and ace wraps without significant healing noted. After clinical evaluation, the gellable fiber dressing was applied with 2-layer compression as secondary dressing. Both were changed weekly. At baseline, wound measured 4.7cm x 2.3cm x 0.4cm with a VAS of 8 and a slight malodor. By visit 3, size had dropped to 3.6cm x 1.9cm x 0.2cm with a VAS of 3 and no malodor. Resolution was complete at visit 7 (total 6 weeks).

The author reported that the gellable fiber wound dressing in conjunction with multilayer compression wrap therapy facilitated healing in all 5 patients, with no adverse events.

Source: Cole W. Use of an Innovative Gellable Fiber Dressing Technology in Heavily Exudating Venous Leg Wounds: A Case Series. Poster presented at Symposium on Advanced Wound Care (SAWC) Fall Virtual. Sept. 18-20, 2020.

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