Treatment of a Venous Leg Ulcer using TransCu O2
Stephanie Wu, DPM, MSc, Chicago Illionis
Patient: 53 year old female
Wound History: Duration of ulcer prior to treatment with CDO was 5 months
Medical History: History of venous insufficiency with ulcers bilaterally and obesity
Previous Therapy: Profore compression*, lodosorb*, Santyl* & silver nitrate
Treatment: TransCu O2®
set at 10 ml/hr using OxySpur® Oxygen Diffusion Dressing covered with Profore*
4-layer compression, Mesalt** used for hypergranulation control for 2 weeks
Pain Reduction:
- Prior to CDO, pain of 3 ranging as high as 8; intermittently taking pain medication
- By 20 days of CDO, pain of 2 during dressing changes; no pain medication
- On day 20, CDO therapy was placed on hold over a holiday
- On day 26, patient returned to clinic reporting pain of 10 and difficulty sleeping; Patient needed to resume taking narcotic pain medication secondary to ulcer related discomfort; Patient resumed CDO therapy
- 3 days after restarting CDO therapy, pain was controlled and patient was off narcotics
Summary: Wound closed in 79 days with 100% epithelialization hypergranulation
(Photos courtesy of Stephanie Wu, DPM MSc, Associate Dean of Research, Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science, North Chicago, Illinois)
* Profore, Iodosorb and Santyl are registered trademarks of Smith and Nephew, Inc.
** Mesalt is a registered trademark of Medline Industries, Inc.