Experience of using hydroactive wound dressings in outpatient practice

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The modern tactics of conservative treatment of trophic ulcers and skin wounds imply the staged use of hydroactive wound dressings whose task is to activate and create optimal conditions for the natural regenerative process. This publication presents an actual clinical case of an effective sequential administration of hydroactive wound dressings HydroClean and HydroTac in a 76-year-old patient with a history of deep vein thrombosis and pulmonary embolism. Two weeks after discharge from the hospital for treatment of severe coronavirus infection (COVID-19) with 70% lung involvement, the patient developed a bubble filled with clear fluid on the anterior surface of the shin. A surgeon at the place of the residence opened the blister and administered occlusive dressings with povidone-iodine, as a result of which the wound surface was covered with a necrotic scab. The patient went to a specialized phlebology clinic due to deterioration of the wound condition and pronounced pain both at rest and during dressings. In order to remove necrotic tissues, a hydroactive dressing HydroClean was prescribed, which was fixed on the limb using cohesive bandage Peha-haft. The authors emphasize the high efficiency and safety of these hydroactive dressings, as well as the possibility of their use at home, which is especially relevant during the COVID-19 pandemic. This clinical case demonstrates the effectiveness of modern hydroactive wound dressings, the use of which in a short time allowed to close a large skin wound in a patient with an extremely negative comorbid background and demonstrates the possibility of remote management of treatment using modern means of communication.