1 / 37

AMPUTEE WOUND CARE

AMPUTEE WOUND CARE. LOUISE WEBBER AMPUTEE & REHAB CNC SSWAHS. AIMS OF POST-OP WOUND CARE. WOUND HEALING WITHOUT COMPLICATION POTENTIAL COMPLICATIONS: WOUND BREAKDOWN DEHISCENCE INFECTION. WOUND MANAGEMENT. NEED TO CLEAN THE WOUND BED – DEBRIDE NECROTIC TISSUE

yael
Download Presentation

AMPUTEE WOUND CARE

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. AMPUTEE WOUND CARE LOUISE WEBBER AMPUTEE & REHAB CNC SSWAHS

  2. AIMS OF POST-OP WOUND CARE • WOUND HEALING WITHOUT COMPLICATION POTENTIAL COMPLICATIONS: • WOUND BREAKDOWN • DEHISCENCE • INFECTION

  3. WOUND MANAGEMENT NEED TO CLEAN THE WOUND BED – DEBRIDE NECROTIC TISSUE DECREASE THE BACTERIAL BURDEN OF THE WOUND

  4. METHODS OF WOUND DEBRIDEMENT • SURGICAL DEBRIDEMENT • AUTOLYTIC DEBRIDEMENT Advanced wound care products • BIOLOGICAL DEBRIDEMENT Maggot Debridement Therapy

  5. Which fly? Maggots used are from the fly Lucilia sericata

  6. Life Cycle of the Fly Egg Fly Fly Maggot Pupa

  7. How do they work? Contrary to popular belief maggots do not have teeth, so they cannot bite or chew away dead tissue ( this is also why they cannot be felt in a wound)

  8. How do they eat? They feed by extra-corporeal digestion, secreting collagenases, trypsin-like, & chymotrypsin-like enzymes that break down necrotic tissue into a semi-liquid form that the maggots can ingest. These enzymes are only effective on devitalised tissue

  9. Problems with maggot therapy Potential “yuk” factor Run-away dressing Short shelf life

  10. Perceived advantages of maggot therapy Rapid wound debridement Reduction in odour Control of infection Maggots take their oxygen from the air Stimulation of granulation tissue Highly cost effective

  11. 6 weeks post –op 22/01/10

  12. 12/02/10 Pre MDT

  13. 15/02/10 Post 1st Application

  14. 19/02/10 Post 2nd application

  15. 26/02/10 After 3 days VAC 23/02/10 VAC Applied

  16. 17/03/10 03/03/10

  17. QUESTIONS?????

More Related