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Approximately 70-year-old
The side of the compress with the integrated protective
patient with recurrent venous leg
ulcer since1992 (Case study B.
layer is identified by the presence of parallel coloured
Kowollik, Neuss)
strips to allow secure positioning of the wound pad.
1) 7 November 02, Status of
Because of this protective layer, TenderWet 24 should not
venous ulcer after 5 days’ treat-
be packed into the wound. For greater ease of use,
ment with TenderWet 24, the
wound is increasingly clean.
TenderWet and TenderWet 24 are supplied in already acti-
2) 15 November 02, all three
TenderWet 24 active is already
vated form as TenderWet active cavity and TenderWet 24 1 2
phases of wound healing are visi-
activated with Ringer’s solution
active. These active wound pads are saturated ready to
ble: in the upper third epithelium,
ready for use. The integrated pro-
use with Ringer’s solution and can be applied immediate-
in the left third well-conditioned
tective layer makes the dressing
granulation tissue, in the right
well suited for treatment under a
ly. This dispenses with time consuming preparations.
half the wound is still in the
compression bandage.
Another advantage of the already activated wound pads
cleansing phase.
is that a much greater volume of Ringer’s solution can be
3) After 12 weeks the wound
introduced into the absorbent core than is possible with
area is about two thirds reduced
in size.
manual impregnation. As a result, the wound can be kept
4) 28 February 03, the rapid
moist for longer.
course of wound healing has
3 4
slowed down greatly.
Moreover, the pads are soft and easy to mould, especially
5) To influence the perforating
vein insufficiency, which was
in the case of TenderWet active cavity, which can be used
identified as the obstacle to heal-
to pack even cavernous wounds without difficulty. In con-
ing, the pressure was increased in
trast, TenderWet 24 active should not be packed into the
the ankle region by fitting a sup-
wound because of its moisture-repellent protective back-
port pad.
6) Finished compression bandage
ing layer.
7) 14 May 03, increasing the
compression was successful, the
The following applies generally to all TenderWet wound
ulcer had decreased in size by
dressing pads: They are not self-adhesive and require 5 6
one half.
8) 18 June 03, completely healed
adequate fixation, e.g. complete-cover dressing retention
ulcer
with elastic non-woven sheet dressings (e.g. Omnifix) or
elastic conforming bandages (e.g. Peha-crepp, Peha-haft).
7 8
Phase-specific wound management [46.47]
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