A female patient (65yrs) had a pressure sore on her right heel. The patient was hospitalized for abdominal surgery and developed a
pressure sore (stage 4) on the coccyx and on both heels (stage 2).

On one heel the blister opened and got infected. Due to the surgery, the patient was weak; she didn’t have any appetite.
She was also diabetic (Type 2) and her glucose was deregulated
after surgery. The coccyx wound was the reason she lost a lot of
fluids.

The patient was depressed and had to be stimulated to
become mobile again and regain appetite. She was bedridden
and refused anti-pressure sore mattresses. The patient was in a lot of pain after surgery and received pain medication and for the infected coccyx wound, antibiotics were administered.

The intact (stage 2) ulcer on the right heel showed signs of infection when it broke despite the use of oral antibiotics. After partial scab removal, a hydrogel was applied. After a week, the honey-based, L-Mesitran Tulle was used for better debridement and infection control.

At the start of the L-Mesitran treatment, the wound was producing
high exudates. These exudates removed the gel from L-Mesitran Tulle and the first 3 weeks, L-Mesitran Tulle was changed 1x daily and covered with a foam dressing. After the first 3 weeks, dressings were changed only 3-4x per week.

The dressing was applied directly on the wound, after it was
cleansed with tap water. The necrotic and infected wound debrided fast and after approximately 4 weeks, a clean and granulating wound bed was observed. The wound epithelialized during the next 3 weeks. After 7 weeks, the wound was fully
healed.

The patient had no pain or sensation during wear time or at dressing changes. No maceration was observed and the dressings created a moist wound environment.