Annemiek Mooij Master in Advanced Nursing Practice,

Slotervaartziekenhuis/

Cordaan Thuiszorg

Amsterdam, the Netherlands (annemiek.mooij@slz.nl)

This work has been made possible by an educational/research grant from BiologiQ, Distributor of Granulox in the Netherlands.

A 25-year old woman, with a history of sickle celldisease, born in Brazil, suffered a Leg Ulcer since she was 12 years old. In Brazil she was always treated with silversulfadiazine cream. She felt always sad, because of the wound she wasn’t able to work and to dress nice. In 2013 she came to the Netherlands after the doctors in Brazil suggested to amputate her leg. When we started the treatment the Ulcer was 20 cm by 10 cm, covered with a yellow-grey slough. The wound was treated with an alginate dressing and later on with a honeydressing. The edema was treated by compression. There was no effect. After a month we started treating the wound with topic hemoglobin.

Start of treatment after debridement

Day 24

9,5 x 9,3 cm

Red 90%

Yellow 10%

Secundairy dressing:

Foam

Day 35

8,5 x 7,5 cm

Red 75%

Yellow 25%

Secundairy dressing:

Absorbent

We started treatment of the wound with topic hemoglobin. It was sprayed on the wound twice a week. In the following 4 months the wound healed, eventhough the patient suffered sickle cell crises 4 times. She was also admitted at the ICU.

This work has been made possible by an educational/research grant from BiologiQ, Distributor of Granulox in the Netherlands.

Day 54

5,0 x 4,5 cm

Red 100%

Lateral side complete

epithelialisation.

Day 131

Wound nearly

closed

From day 74 on slide

Inflammation of the wound.

Starting treatment with

Honeygauze.

3,5 x 2,5 cm

Red 100%

After 131 days the wound was almost closed, apart from

a few very small defects.

Conclusion:

In despite of several negativ influences, like

inflammation and multiple sickle cell crises, the

14 years old wound has healed after 4 month!

Using a Topical Hemoglobin spray was in this case

the breaktrough for getting the wound activ again.

The patient was very happy and moved back to Brazil.

Before After

This work has been made possible by an educational/research grant from BiologiQ, Distributor of Granulox in the Netherlands.