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 always felt sad, wasn’t able to work and dress nice because of the wound.

In 2013 the doctors in Brazil suggested to amputate her leg.

The patient came to the Netherlands.

At start of 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 with an instantly adjustable compression

system. There was no effect. After 4 weeks stagnation of woundhealing, the treatment

was changed to the use of topic hemoglobin.

Start of treatment with topic hemoglobine 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

The wound was treated with topic hemoglobin. It was sprayed on the wound twice a week. In the following 4 months the wound healed, eventhough the patient suffered severe sickle cell crises 4 times and was 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

healed

Day 74 3,5 x 2,5 cm

Red 100%

Slight inflammation of the wound.

Start treatment with Honeygauze.

After 131 days the wound was almost healed, apart from a very small defect.

Conclusion:

In despite of several negativ influences, like inflammation and multiple severe sickle

cell crises, the 14 years old wound has healed after 4 months!

Using a Topical Hemoglobin spray was in this case the breakthrough for getting the

wound activ again. The patient was very happy and moved back to Brazil.

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

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