Abstract
Acute wound healing with comorbidities, such as a varicose vein, may be impaired and result in prolonged healing and unsightly scar if comorbidity identification and management are not done properly. We aimed to present the alternative comorbidity diagnosis and treatment for better outcome in rural setting.
Highlights
Acute open wound is the third most common injury of emergency department (ED) visits in Indonesia, constituting 23.2% of all types of injury [1]
The identification and management of varicose vein as the comorbidity were conducted early since the patient was treated in the ED for her acute wound
There was no available guideline yet about acute wound management with varicose vein as comorbidity, the treatment given was based on consultation with the attending surgeon
Summary
The challenges we encountered in this case consisted of the limitation in diagnostic modality, the patient’s non-adherence to the treatment protocol, and the lack of wound dressing choice due to limitations in the rural setting. The combination of excellent wound care, comorbidity management supported by appropriate diagnostic and treatment modality, and patient’s adherence to treatment protocol are crucial for functional and esthetic wound healing. Despite challenges in a rural setting, achieving optimal wound healing may still be possible by utilizing alternative diagnostic and treatment choices, together with effective education
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